Organization
GREEN OLIVE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORENCE ONI PHD (CEO/PRESIDENT)
(443) 883-9316
Entity
Organization
Contact information
Practice address
16 BISHOPS GATE CT, WINDSOR MILL, MD 21244-1903
(443) 883-9316
Mailing address
16 BISHOPS GATE CT, WINDSOR MILL, MD 21244-1903
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/01/2024
Last updated
11/23/2024
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