Organization
VANTAGE BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIMBOLA C ADEBAYO (PRESIDENT)
(667) 417-9408
Entity
Organization
Contact information
Practice address
5457 TWIN KNOLLS RD STE 300-1116, COLUMBIA, MD 21045-3259
(667) 417-9408
(667) 417-9408
Mailing address
5457 TWIN KNOLLS RD STE 300-1116, COLUMBIA, MD 21045-3259
(667) 417-9408
(667) 417-9408
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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