Pitoc-behavioral Health Systems, Llc

NPI 1285042283 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1285042283
Enumeration Date 07/23/2014
Last Updated 07/23/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name OMORUYI EPHRAIM K OMORUYI
Position PINCIPAL INVESTIGATOR-CEO
Phone (443) 682-5807
Fax
Practice Location
16 W 25TH ST
BALTIMORE MD, 21218-5002, US
Phone (443) 682-5807
Fax
Business Location
PO BOX 7921
ESSEX MD, 21221-0921, US
Phone (443) 682-5807
Fax
Toxanomy
Taxonomy Code 320800000X
License State Maryland
License Number 17618
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According to our database, Pitoc-behavioral Health Systems, Llc NPI is 1285042283, taxonomy code is 320800000X and license number is 17618, license state is located at Maryland. Pitoc-behavioral Health Systems, Llc physically located at 16 W 25th St, Baltimore MD, 21218-5002. NPI Number 1033115704 has the healthcare provider type.

1285042283 NPI number is provided on an as is basis without warranty of any kind. 1285042283 is maintained by the National Plan & Provider Enumeration System. The contents of Pitoc-behavioral Health Systems, Llc are for informational purposes only.