NPI: 1285042283
Provider Name: PITOC-BEHAVIORAL HEALTH SYSTEMS, LLC
Doing Business As: PITOC-BEHAVIORAL HEALTH SYSTEMS, LLC
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization
Specialization: Substance Abuse Treatment, Children
Address:
16 W 25TH ST
BALTIMORE, MD
ZIP 21218
Phone: (443) 682-5807
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PITOC-BEHAVIORAL HEALTH SYSTEMS, LLC is a substance abuse treatment and children substance abuse rehabilitation facility in Baltimore, MD. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. PITOC-BEHAVIORAL HEALTH SYSTEMS, LLC NPI is 1285042283. The provider is registered as an organization entity type.
The provider Is Doing Business As Pitoc-behavioral Health Systems, Llc.
The provider's business location address is:
16 W 25TH ST
BALTIMORE, MD
ZIP 21218-002
Phone: (443) 682-5807
The provider's authorized official is Omoruyi Ephraim K Okundaye .
The authorized official title is Pincipal Investigator-ceo and has the following contact phone number (443) 682-5807.
The enumeration date for this NPI number is 7/23/2014 and was last updated on 7/23/2014.