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Organization
ALPHA RECOVERY HEALTHCARE SERVICES INC
Active
Organization
ALPHA RECOVERY HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYOOLA JULIANA OYENUGA (OWNER OF THE ENTITY)
(240) 821-2195
Entity
Organization
Contact information
Practice address
1800 N CHARLES ST STE 408, BALTIMORE, MD 21201-5909
(240) 821-2195
(301) 390-0463
Mailing address
2014 WHISTLING DUCK DR, UPPER MARLBORO, MD 20774-7139
(240) 821-2195
(301) 390-0463
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
10/18/2022
Last updated
10/18/2022
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