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Organization

AGATE INTEGRATED AND BEHAVIORAL HEALTHCARE SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JIMOH A ADEBAYO (CEO)
(240) 515-4868
Entity
Organization

Contact information

Practice address
3218 GREENMOUNT AVENUE, BALTIMORE, MD 21218-5029
(443) 934-0084
Mailing address
3218 GREENMOUNT AVE, BALTIMORE, MD 21218-3438
(443) 934-0084

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1063144962
MD
Enumeration date
08/30/2022
Last updated
02/20/2026
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