Organization
GENESIS HEALTHCARE INC
Active
Other names
Genesis Healthcare Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOLAJI OLUGBOJA DNP PMHNP (MEDICAL DIRECTOR)
(410) 258-0565
Entity
Organization
Contact information
Practice address
8509 GLEN MICHAEL LN APT T3, RANDALLSTOWN, MD 21133-5227
(410) 258-0565
Mailing address
127 PITTSTON CIR, OWINGS MILLS, MD 21117-1723
(410) 258-0565
(410) 237-6306
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
05/28/2025
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