Organization
CORN OAK COLLECTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADENIKE MIDORI JACOBS LCSW-C (OWNER)
(410) 870-4144
Entity
Organization
Contact information
Practice address
10 N CALVERT ST STE G101, STE G101 PMB 1089, BALTIMORE, MD 21202-1820
(410) 870-4144
Mailing address
10 N CALVERT ST STE G101, BALTIMORE, MD 21202-1820
(410) 870-4144
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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