| Agate Integrated And Behavioral Healthcare Services, Inc | |
|
2323 Maryland Ave Suite 1a Baltimore MD 21218 | |
| (240) 515-4868 | |
| Not Available |
| Full Name | Agate Integrated And Behavioral Healthcare Services, Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2323 Maryland Ave Suite 1a, Baltimore, Maryland |
| Authorized Official Name and Position | Jimoh A Adebayo (CEO) |
| Authorized Official Contact | 2405154868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agate Integrated And Behavioral Healthcare Services, Inc 2323 Maryland Ave Suite 1a Baltimore MD 21218 Ph: (240) 515-4868 | Agate Integrated And Behavioral Healthcare Services, Inc 2323 Maryland Ave Suite 1a Baltimore MD 21218 Ph: (240) 515-4868 |
| NPI Number | 1528783404 |
|---|---|
| Provider Enumeration Date | 10/04/2022 |
| Last Update Date | 10/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528783404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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