Organization
IMMACULATE BEHAVIORAL HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUWATOYIN R ADELAKUN (OWNER OF ENTITY)
(301) 377-4325
Entity
Organization
Contact information
Practice address
2255 CRAIN HWY STE 205, WALDORF, MD 20601-3190
(301) 377-4325
Mailing address
10612 CHERYL TURN, WALDORF, MD 20603-6914
(301) 377-4325
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
09/03/2025
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