OrganizationActive
Outreach Recovery II, LLC
NPI 1760090294 · Addiction Medicine (Internal Medicine) Physician · Hagerstown, MD
Provider details
- NPI number
- 1760090294
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Isiah Coles, Coo
Mailing address
14205 Park Center Dr # 201202
Laurel, MD 20707-5246
Registry dates
- Enumerated
- 2020-07-21
- Last updated
- 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.