| Desire Corporation | |
|
6909 Mcclean Blvd Parkville MD 21234-7257 | |
| (443) 604-1640 | |
| Not Available |
| Full Name | Desire Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6909 Mcclean Blvd, Parkville, Maryland |
| Authorized Official Name and Position | Adejumoke Ikotun (OWNER) |
| Authorized Official Contact | 4436041640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desire Corporation 5909 Belair Rd Baltimore MD 21206-2663 Ph: () - | Desire Corporation 6909 Mcclean Blvd Parkville MD 21234-7257 Ph: (443) 604-1640 |
| NPI Number | 1942928478 |
|---|---|
| Provider Enumeration Date | 08/19/2022 |
| Last Update Date | 08/19/2022 |
| Certification Date | 08/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942928478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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