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Organization
KING HEALTH SYSTEMS, INC.
Active
Organization
KING HEALTH SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SULE SALAKO (CEO)
(301) 725-5464
Entity
Organization
Contact information
Practice address
14201 LAUREL PARK DR STE 206, LAUREL, MD 20707-5203
(301) 725-5464
Mailing address
3502 W ROGERS AVE STE 1, BALTIMORE, MD 21215-4749
(410) 578-4340
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200109439
MARYLAND MEDICAID
MD
Enumeration date
09/25/2020
Last updated
09/25/2020
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