Healthcare Provider Details

I. General information

NPI: 1033025036
Provider Name (Legal Business Name): BESTCARE RESIDENTIAL AND MENTAL HEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 N CHARLES ST STE 902
BALTIMORE MD
21201-3740
US

IV. Provider business mailing address

1 N CHARLES ST STE 902
BALTIMORE MD
21201-3740
US

V. Phone/Fax

Practice location:
  • Phone: 443-677-5135
  • Fax:
Mailing address:
  • Phone: 443-677-5135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. KOLAWOLE A ADEOLA
Title or Position: CEO
Credential:
Phone: 443-677-5135