Healthcare Provider Details

I. General information

NPI: 1265045488
Provider Name (Legal Business Name): TREASURE HEALTH SYSTEMS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2020
Last Update Date: 08/27/2020
Certification Date: 08/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 E NORTHERN PKWY STE 301
BALTIMORE MD
21239-2111
US

IV. Provider business mailing address

1900 E NORTHERN PKWY STE 209
BALTIMORE MD
21239-2110
US

V. Phone/Fax

Practice location:
  • Phone: 410-800-4484
  • Fax: 410-995-7447
Mailing address:
  • Phone: 410-800-4484
  • Fax: 410-995-7447

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 Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: AKINJIDE ADEWOYE
Title or Position: CEO
Credential:
Phone: 410-800-4484