Organization
KAYGEE40, INCORPORATION
Active
Other names
CAROLKAY HEALTHCARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLUKAYODE TOPE TAIWO RN, MSN, MBA (PROGRAM ADMINISTRATOR)
(301) 704-5094
Entity
Organization
Contact information
Practice address
6911 LAUREL BOWIE RD, SUITE #303, BOWIE, MD 20715-1712
(301) 704-5094
Mailing address
6911 LAUREL BOWIE RD, SUITE #303, BOWIE, MD 20715-1712
(301) 704-5094
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
MH-1511
MD
261QM0855X
Adolescent and Children Mental Health Clinic/Center
MH-1511
MD
Other
Enumeration date
11/28/2014
Last updated
11/28/2014
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