Organization · Type 2 NPI
Outreach Recovery Ii, LLC
Addiction Medicine (Preventive Medicine) Physician · Glen Burnie, MD
NPI number
1215593785
Active
Practice location
1410 Crain Hwy N Ste 7B
Glen Burnie, MD 21061-9304
Mailing address
14205 Park Center Dr # 201202
Laurel, MD 20707-5246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | None listed |
| Family Medicine Physician | 207Q00000X | None listed |
| Addiction Medicine (Preventive Medicine) Physician Primary | 2083A0300X | None listed |
Addiction Medicine (Preventive Medicine) Physician: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
3 other providers at this address
About NPI 1215593785
Outreach Recovery Ii, LLC's National Provider Identifier is 1215593785, issued on May 10, 2019. The primary taxonomy on file is Addiction Medicine (Preventive Medicine) Physician (2083A0300X), and the practice location is in Glen Burnie, MD. The record was last updated on Jul 31, 2024.