Organization
ACCENTURE HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEROME OBIAGBA (FOUNDER/PRESIDENT)
(202) 725-0208
Entity
Organization
Contact information
Practice address
516 N ROLLING RD STE 305, CATONSVILLE, MD 21228-4142
(240) 579-7115
Mailing address
516 N ROLLING RD STE 305, CATONSVILLE, MD 21228-4142
(240) 579-7115
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
10/27/2022
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