OUTREACH RECOVERY II, LLC


Address: 915 Toll House Ave Ste 102, Frederick, MD 21701-5911
Phone: 4108004466

OUTREACH RECOVERY II, LLC (NPI# 1265077309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265077309
Entity Type Organization
Organization Name OUTREACH RECOVERY II, LLC
Practice Address 915 Toll House Ave Ste 102
Frederick
MD 21701-5911
Mailing Address 4201 Northview Dr # 104
Bowie
MD 20716-2604
Practice Telephone 4108004466
Mailing Telephone 4108004466
Enumeration Date 2019-11-13
Last Update Date 2020-01-02
Authorized Official Name ISIAH COLES (COO)
Authorized Official Telephone 5615023978
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
N 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities
N 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Outreach Dimensions Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1760090294 Outreach Recovery II, LLC Internal Medicine 339 E Antietam St Ste 4, Hagerstown, MD 21740-5767 2020-07-21
1679198667 Outreach Recovery II, LLC Counselor 72 Greene St Ste 104, Cumberland, MD 21502-2933 2020-06-15
1801452362 Outreach Recovery II, LLC Family Medicine 3649 Leonardtown Rd, Waldorf, MD 20601-3626 2019-05-10
1427541838 Outreach Recovery II, LLC Internal Medicine 4201 Northview Dr Ste 104, Bowie, MD 20716 2018-06-11
1023626553 Outreach Recovery II, LLC Counselor 339 E Antietam St Ste 4, Hagerstown, MD 21740-5767 2020-07-21
1518584143 Outreach Recovery II, LLC Counselor 915 Toll House Ave Ste 102, Frederick, MD 21701-5911 2020-06-30
1821614157 Outreach Recovery II, LLC Family Medicine 72 Greene St, Cumberland, MD 21502-2933 2020-06-23
1386260990 Outreach Recovery II, LLC Internal Medicine 30 W Gude Dr Ste 375, Rockville, MD 20850-4300 2020-06-19
1639795248 Outreach Recovery II, LLC Counselor 30 W Gude Dr Ste 375, Rockville, MD 20850-4300 2020-06-19
1568087559 Outreach Recovery II, LLC Counselor 4201 Northview Dr Ste 104, Bowie, MD 20716-2655 2020-06-15

Office Location

Street Address 915 TOLL HOUSE AVE STE 102
City FREDERICK
State MD
Zip Code 21701-5911

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659874527 Malaka Castle Counselor 915 Toll House Ave Ste 102, Frederick, MD 21701-5911 2018-03-16
1518584143 Outreach Recovery II, LLC Counselor 915 Toll House Ave Ste 102, Frederick, MD 21701-5911 2020-06-30
1336614536 Main Place Treatment Centers LLC. Clinic/Center 915 Toll House Ave Ste 102, Frederick, MD 21701-5911 2018-10-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225670045 Alana Earp Social Worker 810 Toll House Avenue, Frederick, MD 21701 2019-10-14
1851866065 Main Place Treatment Centers LLC. Clinic/Center 127 S. Smallwood Street, Frederick, MD 21701 2018-10-04
1649775933 Old Fashion Medicine, Inc Internal Medicine 95 Gatepost Lane, Apartment 1b, Frederick, MD 21701 2018-03-28
1063917938 Kristin Deely Nurse Practitioner 400 West 7th Street, Cardiac Cath Lab 2nd Floor, Frederick, MD 21701 2018-03-24
1689180119 Harwood Behavioral Health Partners, LLC Community/Behavioral Health 300 B Scholls Lane, Frederick, MD 21701 2017-12-20
1326590068 Natalie Reid Nurse Practitioner 9093 Ridgefield Dr Ste 104, Frederick, MD 21701 2016-10-28
1649727967 Scl Corpration In Home Supportive Care 550 Highland Street, Suite 110, Frederick, MD 21701 2016-09-02
1891159661 Wellave, LLC Clinic/Center 411 Aviation Way Ste 245, Frederick, MD 21701 2016-04-07
1144694969 Leslee Bry Counselor 120 W Church St Ste 3b, Frederick, MD 21701 2015-11-17
1851797732 Frederick Dental Dentist 401 W 7th Street, Frederick Dental, Frederick, MD 21701 2014-11-05
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730277435 Maryland Treatment Centers, Inc. Clinic/Center 174 Thomas Johnson Dr Ste 101, Frederick, MD 21702-4571 2006-10-10
1184239758 North Range Behavioral Health Clinic/Center 5901 Majestic St, Frederick, CO 80504-6933 2020-09-10
1306458732 Concerted Care Group Frederick LLC Clinic/Center 300b Scholls Ln, Frederick, MD 21701-6380 2020-08-18
1538657630 Brook Lane Behavioral Services, Inc. Clinic/Center 5301 Buckeystown Pike, Frederick, MD 21704-8370 2018-04-25
1952898306 Associated Catholic Charities, Inc. Clinic/Center 300 W 9th St, Frederick, MD 21701-4541 2018-04-20
1780107631 Concerted Care Group Frederick LLC Clinic/Center 300 Scholls Ln, Frederick, MD 21701-6380 2017-07-24
1215395298 Terry Jane Austin Clinic/Center 27 W 7th St, Frederick, MD 21701-4689 2016-02-04
1619385630 Main Place Addiction Treatment Center LLC. Clinic/Center 915 Toll House Ave, Frederick, MD 21701-5930 2014-07-23
1992027726 Serenity Treatment Center, Inc. Clinic/Center 420 E Patrick St, Frederick, MD 21701-5658 2010-02-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043817075 Maryland Community Health Initiatives, Inc. Clinic/Center 2648 Guilford Ave Apt 1fl, Baltimore, MD 21218-4611 2020-10-02
1851998892 Maryland Community Health Initiatives, Inc. Clinic/Center 2648 Guilford Ave Apt 2fl, Baltimore, MD 21218-4611 2020-10-02
1801403324 Maryland Community Health Initiatives, Inc. Clinic/Center 328 E 26th St, Baltimore, MD 21218-4702 2020-09-29
1275148975 Hel Recovery Center Clinic/Center 1900 N Howard St Fl 2, Baltimore, MD 21218-5909 2020-09-10
1497365654 Inspiring Change Mental Health Services, LLC. Clinic/Center 4654 York Rd Ste 1, Baltimore, MD 21212-4726 2020-08-03
1174132518 Sabinas House LLC Clinic/Center 3103 Mareco Ave, Baltimore, MD 21213-1619 2020-07-30
1134738909 Sabinas House LLC Clinic/Center 2224 Dukeland St, Baltimore, MD 21216-2812 2020-07-28
1881203792 Sabinas House LLC Clinic/Center 3325 Shannon Dr, Baltimore, MD 21213-1823 2020-07-27
1356950265 Sabinas House LLC Clinic/Center 616 Wildwood Pkwy, Baltimore, MD 21229-1810 2020-07-27
1598374407 Sabinas House LLC Clinic/Center 605 Springfield Ave, Baltimore, MD 21212-4832 2020-07-27
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Competitor

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City FREDERICK
Zip Code 21701

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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