# TEMAH HEALTHCARE SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518708700
- **Authorized official:** GBENGA WILLIAMS (ADMINISTRATOR)
- **Authorized official phone:** (410) 521-8000

## Contact information

- **Practice address:** 50 SCOTT ADAM RD STE 204, COCKEYSVILLE, MD 21030-3295
- **Practice address phone:** (410) 521-8000
- **Practice address fax:** (410) 655-5826
- **Mailing address:** 4320 BROOKSIDE OAKS, OWINGS MILLS, MD 21117-5169
- **Mailing address phone:** (410) 521-8000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TR0400X | Rehabilitation Psychologist | — | NULL | — |
| 103TR0400X | Rehabilitation Psychologist | — | — | — |
| 163WP0807X | Child & Adolescent Psychiatric/Mental Health Registered Nurse | — | NULL | — |
| 163WP0807X | Child & Adolescent Psychiatric/Mental Health Registered Nurse | — | — | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 06/03/2024
- **Last updated:** 08/13/2024