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Organization
OPTIMUM MENTAL HEALTH, LLC
Active
Organization
OPTIMUM MENTAL HEALTH, LLC
Active
Other names
Optimum Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMSON A OMOTOSHO CRNP-PMH (DIRECTOR & PSYCHIATRIC NURSE PRACTI)
(443) 858-3189
Entity
Organization
Contact information
Practice address
2300 GARRISON BLVD STE 104, BALTIMORE, MD 21216-2308
(667) 771-2776
(410) 655-3484
Mailing address
10701 CHAPELDALE ROAD, RANDALLSTOWN, MD 21133
(443) 858-3189
(410) 655-3484
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
10/20/2025
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