Organization
MD BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYOKUNLE OLULEYE (MANGER)
(443) 756-5092
Entity
Organization
Contact information
Practice address
7610 CARROLL AVE STE 360, TAKOMA PARK, MD 20912-6323
(301) 249-8100
(301) 390-8086
Mailing address
4000 MITCHELLVILLE RD STE A414, BOWIE, MD 20716-3142
(301) 249-8100
(301) 390-8086
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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