OrganizationActive
Outreach Recovery II, LLC
NPI 1750947222 · Addiction Medicine (Preventive Medicine) Physician · Cumberland, MD
Provider details
- NPI number
- 1750947222
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Isiah Coles, Coo(561) 502-3978
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Nursing Service Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Practice location
134 Baltimore St
Cumberland, MD 21502-2302
Phone: (877) 889-4829
Approximate (ZIP-level) locationGet directions
Mailing address
14205 Park Center Dr
Laurel, MD 20707-5246
Registry dates
- Enumerated
- 2019-05-10
- Last updated
- 2023-12-01
- Certified
- 2023-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.