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Organization

CHANGE HEALTH SYSTEMS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OLAOLUWASUPO OJO (CEO)
(410) 233-1088
Entity
Organization

Contact information

Practice address
300 W LEXINGTON ST, BALTIMORE, MD 21201-3418
(410) 233-1088
Mailing address
2401 LIBERTY HEIGHTS AVE STE 4670, BALTIMORE, MD 21215-8032
(410) 233-1088
(410) 233-1087

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000000000000
MD
Enumeration date
10/06/2017
Last updated
10/06/2017
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