Organization
ENFIELD LOCKE CARE RESOURCES INC
Active
Other names
Enfield Locke Care Resources Inc
Organization subpart
No
Provider details
NPI number
Authorized official
TEMIDAYO A OGUNDIRAN (CEO)
(443) 558-6938
Entity
Organization
Contact information
Practice address
405 FREDERICK RD STE 158, CATONSVILLE, MD 21228-4633
(667) 407-2550
(443) 327-4613
Mailing address
405 FREDERICK RD STE 158, CATONSVILLE, MD 21228-4633
(667) 407-2550
(443) 327-4613
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
273Y00000X
Rehabilitation Hospital Unit
—
—
Other
Enumeration date
09/06/2022
Last updated
12/19/2022
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