Organization · Type 2 NPI
Outreach Recovery II
Addiction Medicine (Internal Medicine) Physician · Great Mills, MD
Practice location
22330 Chancellors Run Rd Unit A
Great Mills, MD 20634-2424
Fax (410) 705-5024
Mailing address
4201 Northview Dr Ste 104
Bowie, MD 20716-2655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | None listed |
| 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 1194308692
Outreach Recovery II's National Provider Identifier is 1194308692, issued on May 3, 2021. The primary taxonomy on file is Addiction Medicine (Internal Medicine) Physician (207RA0401X), and the practice location is in Great Mills, MD. The record was last updated on May 3, 2021.