| Adore Mental Health & Addiction Clinic Inc | |
|
4812 Liberty Heights Ave Ste B Baltimore MD 21207-8032 | |
| (667) 379-6975 | |
| Not Available |
| Full Name | Adore Mental Health & Addiction Clinic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4812 Liberty Heights Ave Ste B, Baltimore, Maryland |
| Authorized Official Name and Position | Olufunmilayo Adeloye (OWNER) |
| Authorized Official Contact | 6673796975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adore Mental Health & Addiction Clinic Inc 4812 Liberty Heights Ave Ste B Baltimore MD 21207-8032 Ph: (443) 847-0988 | Adore Mental Health & Addiction Clinic Inc 4812 Liberty Heights Ave Ste B Baltimore MD 21207-8032 Ph: (667) 379-6975 |
| NPI Number | 1578259727 |
|---|---|
| Provider Enumeration Date | 04/12/2023 |
| Last Update Date | 04/12/2023 |
| Certification Date | 04/12/2023 |
| Medicare PECOS PAC ID | 3274992714 |
|---|---|
| Medicare Enrollment ID | O20230913000486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578259727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Olufunmilayo Adeloye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184377855 PECOS PAC ID: 0749653533 Enrollment ID: I20230225000224 |
| Provider Name | Adedoyin Atinuke Alade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518699586 PECOS PAC ID: 3577926930 Enrollment ID: I20230913001121 |
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