Organization · Type 2 NPI
Outreach Recovery II
Addiction Medicine (Internal Medicine) Physician · Lexington Park, MD
Practice location
21552 Thames Ave Ste 201202
Lexington Park, MD 20653-4009
Mailing address
14205 Park Center Dr # 201202
Laurel, MD 20707-5246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Internal Medicine) Physician Primary | 207RA0401X | None listed |
Addiction Medicine (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
About NPI 1114614526
Outreach Recovery II's National Provider Identifier is 1114614526, issued on Apr 18, 2023. The primary taxonomy on file is Addiction Medicine (Internal Medicine) Physician (207RA0401X), and the practice location is in Lexington Park, MD. The record was last updated on Jul 31, 2024.