OrganizationActive
Outreach Recovery II
NPI 1417532433 · Addiction Medicine (Internal Medicine) Physician · Catonsville, MD
Provider details
- NPI number
- 1417532433
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Isiah Coles, Coo(561) 502-3978
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
716 Maiden Choice Ln Ste 302
Catonsville, MD 21228-5960
Phone: (410) 800-4466
Street-level locationGet directions
Mailing address
14205 Park Center Dr # 201202
Laurel, MD 20707-5246
Registry dates
- Enumerated
- 2021-03-11
- Last updated
- 2024-07-31
- Certified
- 2024-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.