Organization
ALLIANZE INC
Active
Other names
Allianze Inc
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP OKOJIE (OWNER)
(443) 759-1137
Entity
Organization
Contact information
Practice address
526 S CONKLING ST, BALTIMORE, MD 21224-4201
(443) 759-1137
Mailing address
9609 WICKSTEAD CT, PERRY HALL, MD 21128-8977
(443) 759-1137
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220712861
MARYLAND BHA
MD
Enumeration date
09/20/2022
Last updated
08/23/2023
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