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Organization

IMISIO HEALTHCARE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OMOKOREDE FATILE (PRESIDENT)
(718) 749-4346
Entity
Organization

Contact information

Practice address
1515 REISTERSTOWN RD STE 304, PIKESVILLE, MD 21208-4336
(410) 505-0506
(240) 466-6507
Mailing address
1515 REISTERSTOWN RD STE 304, PIKESVILLE, MD 21208-4336
(410) 505-0506
(240) 466-6507

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
11/26/2025
Last updated
11/26/2025
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