Healthcare Provider Details

I. General information

NPI: 1871433938
Provider Name (Legal Business Name): CITI HILL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 OLD COURT RD STE 9
BALTIMORE MD
21208-3901
US

IV. Provider business mailing address

PO BOX 971
OWINGS MILLS MD
21117-0903
US

V. Phone/Fax

Practice location:
  • Phone: 410-580-0080
  • Fax:
Mailing address:
  • Phone: 443-985-6571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: EKENE AGABU
Title or Position: ADMINISTRATOR
Credential:
Phone: 443-985-6571