Healthcare Provider Details

I. General information

NPI: 1578483301
Provider Name (Legal Business Name): BREAKTHROUGH BEHAVIORAL HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 N HOWARD ST STE 100
BALTIMORE MD
21218-5909
US

IV. Provider business mailing address

1900 N HOWARD ST STE 100
BALTIMORE MD
21218-5909
US

V. Phone/Fax

Practice location:
  • Phone: 443-445-0536
  • Fax: 443-753-4753
Mailing address:
  • Phone: 443-445-0536
  • Fax: 443-753-4753

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: FRANCIS ODUAH
Title or Position: CEO/MEDICAL DIRECTOR
Credential: CRNP-PMH, FNP-BC
Phone: 443-445-0536