Organization
CHANGE HEALTH SYSTEMS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISRAEL OJO (CHIEF EXECUTIVE OFFICER)
(410) 233-1088
Entity
Organization
Contact information
Practice address
2401 LIBERTY HEIGHTS AVE, SUITE 4670, BALTIMORE, MD 21215-8019
(410) 233-1088
(410) 233-1087
Mailing address
2401 LIBERTY HEIGHTS AVE, SUITE 4670, BALTIMORE, MD 21215-8019
(410) 233-1088
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
11925
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404096100
—
MD
05
—
410166900
—
MD
Enumeration date
01/31/2007
Last updated
03/24/2011
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