Organization
MIND BEYOND AGE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUBUKOLA AMEEN (PRESIDENT)
(240) 355-1979
Entity
Organization
Contact information
Practice address
5438 BRISTOL GREEN WAY, BALTIMORE, MD 21229-2105
(240) 355-1979
Mailing address
5438 BRISTOL GREEN WAY, BALTIMORE, MD 21229-2105
(240) 355-1979
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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