Organization
CROWN OASIS MENTAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADISATU ADEYEMI LCPC (CEO)
(240) 636-7405
Entity
Organization
Contact information
Practice address
5513 TWIN KNOLLS RD STE 213, COLUMBIA, MD 21045-3264
(240) 636-7404
Mailing address
5513 TWIN KNOLLS RD STE 213, COLUMBIA, MD 21045-3264
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/29/2023
Last updated
07/18/2024
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