Organization
NATIONAL PIKE HEALTH CENTER, INC.
Active
Parent organization
NATIONAL PIKE HEALTH CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATIONAL PIKE HEALTH CENTER, INC.
Authorized official
MOPELOLA OWOYEMI (COO)
(410) 744-8100
Entity
Organization
Contact information
Practice address
1201 W PRATT ST, BALTIMORE, MD 21223-2674
(443) 449-5975
Mailing address
5411 OLD FREDERICK RD STE 13, BALTIMORE, MD 21229-2126
(410) 744-8100
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210511014
MD BEHAVIORAL HEALTH ADMINISTRATION
MD
Enumeration date
05/13/2021
Last updated
05/13/2021
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