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Organization
ENFIELD LOCKE CARE RESOURCES INC
Active
Organization
ENFIELD LOCKE CARE RESOURCES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEMIDAYO A OGUNDIRAN (CEO)
(443) 558-6938
Entity
Organization
Contact information
Practice address
405 FREDERICK RD STE 158, CATONSVILLE, MD 21228-4633
(443) 558-6938
Mailing address
405 FREDERICK RD STE 158, CATONSVILLE, MD 21228-4633
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
261Q00000X
Clinic/Center
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/30/2022
Last updated
10/26/2023
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