Organization
AGATE INTEGRATED AND BEHAVIORAL HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMOH ADEPOJU ADEBAYO (CEO)
(240) 515-4868
Entity
Organization
Contact information
Practice address
2323 MARYLAND AVENUE, SUITE 1A, BALTIMORE, MD 21218
(443) 934-0084
Mailing address
2323 MARYLAND AVENUE, SUITE 1A, BALTIMORE, MD 21218
(443) 934-0084
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609470327
—
MD
05
—
1629653894
—
MD
05
—
1871245811
—
MD
Enumeration date
05/28/2022
Last updated
07/01/2022
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