Organization
ALPHA RECOVERY HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYOOLA JULIANA OYENUGA (OWNER OF THE ENTITY)
(240) 821-2195
Entity
Organization
Contact information
Practice address
1800 N CHARLES ST STE 408, BALTIMORE, MD 21201-5909
(240) 821-2195
(301) 390-0463
Mailing address
2014 WHISTLING DUCK DR, UPPER MARLBORO, MD 20774-7139
(240) 821-2195
(301) 390-0463
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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