Organization
ARK OF REHABILITATION INC
Active
Other names
Ark of Rehabilitation Inc
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL ADEYEYE (ADMINISTRATOR)
(240) 505-4750
Entity
Organization
Contact information
Practice address
8629 LIBERTY RD STE A, RANDALLSTOWN, MD 21133-4713
(443) 405-8005
(443) 815-4746
Mailing address
8629 LIBERTY RD STE A, RANDALLSTOWN, MD 21133-4713
(443) 405-8005
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
08/21/2023
Last updated
12/06/2024
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