| Change Health Systems, Inc | |
|
300 W Lexington St Baltimore MD 21201-3418 | |
| (410) 233-1088 | |
| Not Available |
| Full Name | Change Health Systems, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 300 W Lexington St, Baltimore, Maryland |
| Authorized Official Name and Position | Olaoluwasupo Ojo (CEO) |
| Authorized Official Contact | 4102331088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Change Health Systems, Inc 2401 Liberty Heights Ave Ste 4670 Baltimore MD 21215-8032 Ph: (410) 233-1088 | Change Health Systems, Inc 300 W Lexington St Baltimore MD 21201-3418 Ph: (410) 233-1088 |
| NPI Number | 1164932935 |
|---|---|
| Provider Enumeration Date | 10/06/2017 |
| Last Update Date | 10/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164932935 | NPI | - | NPPES |
| 000000000000 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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