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Outreach Recovery Ii
Psychiatric/Mental Health Nurse Practitioner in Prince Frederick, Maryland
NPI 1871257964

Outreach Recovery Ii is a Psychiatric/Mental Health Nurse Practitioner based in Laurel, MD and is specialized in Psychiatric/Mental Health. Outreach Recovery Ii practices in Prince Frederick, MD. The NPI Number for Outreach Recovery Ii is 1871257964 and holds a License No. (Maryland).

The current practice location address for Outreach Recovery Ii is 110 Hospital Rd Ste 306, Prince Frederick, MD and can be reached out via phone at 410-800-4466.

Location: 110 Hospital Rd Ste 306, Prince Frederick, MD, 20707-5246
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871257964
Provider Name
Outreach Recovery Ii
Credential
Provider Entity Type
Organization
Address
110 Hospital Rd Ste 306, Prince Frederick, MD, 20707-5246
Phone Number
410-800-4466
Fax Number
Provider Enumeration Date
10/26/2021
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
77779730 05 MD
institution
Provider Business Practice Location Address Details
Address
110 Hospital Rd Ste 306
City
Prince Frederick
State
Maryland
Zip
20678-4046
Phone Number
410-800-4466
Fax Number
person
Provider Business Mailing Address Details
Address
110 Hospital Rd Ste 306
City
Prince Frederick
State
Maryland
Zip
20678-4046
Phone Number
410-800-4466
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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