| Optimum Health Systems, Inc. | |
|
2300 Garrison Blvd Suite 104 Baltimore MD 21216-2335 | |
| (410) 233-6200 | |
| (410) 233-6201 |
| Full Name | Optimum Health Systems, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2300 Garrison Blvd, Baltimore, Maryland |
| Authorized Official Name and Position | Samson Omotosho (PROGRAM DIRECTOR) |
| Authorized Official Contact | 4438583189 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimum Health Systems, Inc. 3709 Collier Rd Randallstown MD 21133-3401 Ph: (443) 858-3189 | Optimum Health Systems, Inc. 2300 Garrison Blvd Suite 104 Baltimore MD 21216-2335 Ph: (410) 233-6200 |
| NPI Number | 1396860284 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 07/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396860284 | NPI | - | NPPES |
| 402529600 | Medicaid | MD | |
| 404189100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | D07661762 (Maryland) | Primary |
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