| Organization Name: | COMMUNITY OUTREACH SERVICES, INC. |
| NPI Number: | 1447686597 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL W. NETTLES (OWNER/CLINICAL DIRECTOR) |
| Mailing Address: | 6215 Greenbelt Rd Suite 206 Berwyn Heights |
| State: | MD US |
| Postal Code: | 207402355 |
| Phone Number: | 3013451459 |
| Fax Number: | 3013451305 |
| NPI Enumeration Date: | 09/20/2013 |
| NPI Last Update Date: | 09/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |