Organization · Type 2 NPI
Outreach Recovery Ii, LLC
Addiction Medicine (Preventive Medicine) Physician · Waldorf, MD
NPI number
1801452362
Active
Practice location
11340 Pembrooke Sq Ste 214
Waldorf, MD 20603-4808
Mailing address
14205 Park Center Dr # 201202
Laurel, MD 20707-5246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Addiction Medicine (Preventive Medicine) Physician Primary | 2083A0300X | None listed |
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 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.
2 other providers at this address
About NPI 1801452362
Outreach Recovery Ii, LLC's National Provider Identifier is 1801452362, issued on May 10, 2019. The primary taxonomy on file is Addiction Medicine (Preventive Medicine) Physician (2083A0300X), and the practice location is in Waldorf, MD. The record was last updated on Jul 31, 2024.