| Hope Alive Therapeutic Services | |
|
13 C St Ste B Laurel MD 20707-4152 | |
| (800) 605-6949 | |
| Not Available |
| Full Name | Hope Alive Therapeutic Services |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 13 C St Ste B, Laurel, Maryland |
| Authorized Official Name and Position | Damilola Olofinlua (DIRECTOR / OWNER) |
| Authorized Official Contact | 8006056949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Alive Therapeutic Services 13 C St Ste B Laurel MD 20707-4152 Ph: (800) 605-6949 | Hope Alive Therapeutic Services 13 C St Ste B Laurel MD 20707-4152 Ph: (800) 605-6949 |
| NPI Number | 1366936395 |
|---|---|
| Provider Enumeration Date | 06/22/2018 |
| Last Update Date | 06/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366936395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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