Organization
NEWAGE PSYCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLADAYO OYEYIOLA (OWNER)
(240) 565-2179
Entity
Organization
Contact information
Practice address
8035 HARFORD RD STE B, PARKVILLE, MD 21234-5848
(240) 565-2179
Mailing address
8035 HARFORD RD STE B, PARKVILLE, MD 21234-5848
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2405652179
2405652179
—
Enumeration date
07/09/2021
Last updated
07/09/2021
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