Healthcare Provider Details
I. General information
NPI: 1265041008
Provider Name (Legal Business Name): TRUECARE BEHAVIORAL HEALTH SYSTEMS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/28/2020
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1800 N CHARLES ST STE 304
BALTIMORE MD
21201-5908
US
IV. Provider business mailing address
1800 N CHARLES ST STE 304
BALTIMORE MD
21201-5908
US
V. Phone/Fax
- Phone: 443-552-7200
- Fax:
- Phone: 443-552-7200
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TEMILOLUWA
EGBEWUMI
Title or Position: CEO
Credential:
Phone: 443-929-2979