Organization
HOPE HAVEN HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLUWATOYIN OMONIYI OLALEYE NP (OWNER)
(443) 616-6802
Entity
Organization
Contact information
Practice address
1314 S BAYLIS ST, BALTIMORE, MD 21224-5206
(443) 290-7997
Mailing address
9602 MAXWELL RD, MIDDLE RIVER, MD 21220-3792
(443) 616-6802
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM2800X
Methadone Clinic
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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