Organization
KAYSALEM GLOBAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN OLUSOJI MD (OPERATION DIRECTOR)
(301) 458-9688
Entity
Organization
Contact information
Practice address
10714 HEATHER GLEN WAY, BOWIE, MD 20720-4296
(301) 458-9688
Mailing address
10714 HEATHER GLEN WAY, BOWIE, MD 20720-4296
(301) 458-9688
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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