Healthcare Provider Details

I. General information

NPI: 1649203662
Provider Name (Legal Business Name): NATIONAL PIKE HEALTH CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5411 OLD FREDERICK RD STE 13&14
BALTIMORE MD
21229-2195
US

IV. Provider business mailing address

5411 OLD FREDERICK RD STE 13&14
BALTIMORE MD
21229-2195
US

V. Phone/Fax

Practice location:
  • Phone: 410-744-8100
  • Fax: 410-744-2530
Mailing address:
  • Phone: 410-744-8100
  • Fax: 410-744-2530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number10041
License Number StateMD

VIII. Authorized Official

Name: MOPELOLA OWOYEMI
Title or Position: VICE PRESIDENT
Credential: MS
Phone: 410-744-8100