Organization
OPTIMUM HEALTH SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMSON OMOTOSHO PHD (PROGRAM DIRECTOR)
(443) 858-3189
Entity
Organization
Contact information
Practice address
2300 GARRISON BLVD, SUITE 210, BALTIMORE, MD 21216-2335
(410) 233-6200
(410) 233-6201
Mailing address
2300 GARRISON BLVD STE 104, BALTIMORE, MD 21216-2308
(410) 233-6200
(410) 233-6201
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
241N
MD
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
404169100
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402529600
—
MD
05
—
404169100
—
MD
Enumeration date
06/05/2006
Last updated
10/01/2025
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