| Archibald Optimal Health Services, Llc | |
|
1431 E Baltimore St Baltimore MD 21231-1405 | |
| (410) 258-1872 | |
| (410) 342-4130 |
| Full Name | Archibald Optimal Health Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1431 E Baltimore St, Baltimore, Maryland |
| Authorized Official Name and Position | Paul Archibald (PROGRAM DIRECTOR) |
| Authorized Official Contact | 4103571404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Archibald Optimal Health Services, Llc 5919a York Rd Baltimore MD 21212-3027 Ph: () - | Archibald Optimal Health Services, Llc 1431 E Baltimore St Baltimore MD 21231-1405 Ph: (410) 258-1872 |
| NPI Number | 1518315944 |
|---|---|
| Provider Enumeration Date | 05/26/2016 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/29/2024 |
| Medicare PECOS PAC ID | 5597125880 |
|---|---|
| Medicare Enrollment ID | O20230718003610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518315944 | NPI | - | NPPES |
| 732960 | Other | MD | 73960 |
| Provider Name | Paul Cliffird Archibald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033313812 PECOS PAC ID: 1153382577 Enrollment ID: I20041020000124 |
| Provider Name | Sophia C Cox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639313828 PECOS PAC ID: 3476999806 Enrollment ID: I20240307003828 |
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