| National Pike Health Center, Inc | |
|
23 Shipping Pl Dundalk MD 21222-4318 | |
| (410) 282-5401 | |
| Not Available |
| Full Name | National Pike Health Center, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 23 Shipping Pl, Dundalk, Maryland |
| Authorized Official Name and Position | Johnson Oludare Owoyemi (PRESIDENT) |
| Authorized Official Contact | 4107448100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| National Pike Health Center, Inc 23 Shipping Pl Dundalk MD 21222-4318 Ph: (410) 282-5401 | National Pike Health Center, Inc 23 Shipping Pl Dundalk MD 21222-4318 Ph: (410) 282-5401 |
| NPI Number | 1508881384 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508881384 | NPI | - | NPPES |
| 781302300, 781204300 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 10041, 10075 (Maryland) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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