Organization
EROSUN BEHAVIORAL HEALTH SERVICES INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEGUN OLADUNNI MA (CEO)
(410) 296-4641
Entity
Organization
Contact information
Practice address
10811 RED RUN BLVD STE 110, OWINGS MILLS, MD 21117-5150
(410) 296-4641
Mailing address
10811 RED RUN BLVD STE 204, OWINGS MILLS, MD 21117-5151
(410) 296-4641
(410) 296-4643
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
11/17/2020
Last updated
04/28/2022
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