Organization
AGATE INTEGRATED AND BEHAVIORAL HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMOH ADEBAYO (CEO)
(240) 515-4868
Entity
Organization
Contact information
Practice address
3218 GREENMOUNT AVE, BALTIMORE, MD 21218-3438
(443) 934-0084
Mailing address
3218 GREENMOUNT AVENUE, BALTIMORE, MD 21218
(443) 934-0084
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609470327
—
MD
05
—
1629653894
—
MD
Enumeration date
01/20/2022
Last updated
01/12/2026
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