Organization
ITOJU HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEHINDE OLAMOYEGUN (CEO)
(410) 505-0419
Entity
Organization
Contact information
Practice address
145 W OSTEND ST STE 600, BALTIMORE, MD 21230-3774
(443) 960-1030
Mailing address
145 W OSTEND ST STE 600, BALTIMORE, MD 21230-3774
(443) 960-1030
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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