NPI: 1629653894
Provider Name: AGATE INTEGRATED AND BEHAVIORAL HEALTHCARE SERVICES
Former Legal Business Name: AGATE INTEGRATED AND BEHAVIORAL HEALTHCARE SERVICES INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization
Specialization: Mental Health (Including Community Mental Health Center)
Address:
2323 MARYLAND AVE SUITE 1A
BALTIMORE, MD
ZIP 21218
Phone: (240) 515-4868
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AGATE INTEGRATED AND BEHAVIORAL HEALTHCARE SERVICES is a mental health (including community mental health center) clinic center in Baltimore, MD. AGATE INTEGRATED AND BEHAVIORAL HEALTHCARE SERVICES NPI is 1629653894. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Agate Integrated And Behavioral Healthcare Services Inc.
The provider's business location address is:
2323 MARYLAND AVE SUITE 1A
BALTIMORE, MD
ZIP 21218-014
Phone: (240) 515-4868
The provider's authorized official is Jimoh Adebayo .
The authorized official title is Ceo and has the following contact phone number (240) 515-4868.
The enumeration date for this NPI number is 3/10/2021 and was last updated on 8/23/2021.