BO HUNDLEY ASSEFA SERVICES LLC NPI 1184590697

NPI Information

  • NPI: 1184590697
  • Provider Name: BO HUNDLEY ASSEFA SERVICES LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 3212 FAIT AVE
    BALTIMORE, MD
    ZIP 21224
  • Phone: (410) 206-7460

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NPI Details

BO HUNDLEY ASSEFA SERVICES LLC is a mental health (including community mental health center) clinic center in Baltimore, MD. BO HUNDLEY ASSEFA SERVICES LLC NPI is 1184590697. The provider is registered as an organization entity type.

The provider's business location address is:

3212 FAIT AVE
BALTIMORE, MD
ZIP 21224-031
Phone: (410) 206-7460

The provider's authorized official is Bo Hundley Assefa .
The authorized official title is Owner and has the following contact phone number (410) 206-7460.

The enumeration date for this NPI number is 10/13/2025 and was last updated on 10/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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