Healthcare Provider Details

I. General information

NPI: 1124866637
Provider Name (Legal Business Name): A&E HEALTHCARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2024
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 E LEXINGTON ST
BALTIMORE MD
21202-3501
US

IV. Provider business mailing address

216 E LEXINGTON ST
BALTIMORE MD
21202-3501
US

V. Phone/Fax

Practice location:
  • Phone: 301-254-3524
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: OLUWAKEMI OGUNSEYE
Title or Position: ADMINISTRATOR
Credential:
Phone: 301-254-3524