Organization
NATIONAL PIKE HEALTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNSON OLUDARE OWOYEMI MS (PRESIDENT)
(410) 744-8100
Entity
Organization
Contact information
Practice address
23 SHIPPING PL, DUNDALK, MD 21222-4318
(410) 282-5401
Mailing address
23 SHIPPING PL, DUNDALK, MD 21222-4318
(410) 282-5401
(410) 282-5403
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10041, 10075
MD
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
781302300, 781204300
—
MD
Enumeration date
07/13/2006
Last updated
07/21/2022
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