Organization
MITA COOKE HEALTH SERVICES INC
Active
Other names
MiTA Cooke Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
BOSUN OLOKO (CEO)
(301) 768-9607
Entity
Organization
Contact information
Practice address
1709 REBECCA CT, UPPER MARLBORO, MD 20774-5621
(301) 768-9607
Mailing address
1709 REBECCA CT, UPPER MARLBORO, MD 20774-5621
(301) 768-9607
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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