Organization
EXOUSIA BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLUWAKEMI AJE MD (CLINICAL DIRECTOR)
(571) 409-1517
Entity
Organization
Contact information
Practice address
5625 ALLENTOWN RD, SUITLAND, MD 20746-4521
(571) 409-1517
Mailing address
5625 ALLENTOWN RD SUITE 106, SUITLAND, MD 20746-4521
(571) 409-1517
(240) 301-2794
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
01/31/2023
Last updated
09/01/2023
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