Organization
NATIONAL PIKE HEALTH CENTER, INC.
Active
Other names
National Pike Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MOPELOLA OWOYEMI (COO)
(410) 375-1540
Entity
Organization
Contact information
Practice address
700 CORPORATE CENTER CT STE D, WESTMINSTER, MD 21157-3060
(410) 375-1540
Mailing address
5411 OLD FREDERICK RD STE 13, BALTIMORE, MD 21229-2126
(410) 744-8100
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230414000
PRP
MD
Enumeration date
06/05/2023
Last updated
06/15/2023
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