Organization
COMMUNITY INTERVENTION HEALTHCARE SERVICES LLC
Active
Other names
CIHS
Organization subpart
No
Provider details
NPI number
Authorized official
ADELEKE IBIRONKE (CEO/OWNER)
(443) 929-3667
Entity
Organization
Contact information
Practice address
302 REISTERSTOWN RD, PIKESVILLE, MD 21208-5312
(410) 505-0550
Mailing address
12 CLEMATIS CT, OWINGS MILLS, MD 21117-5032
(443) 929-3667
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390014200
—
MD
Enumeration date
02/03/2019
Last updated
05/01/2019
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