Healthcare Provider Details
I. General information
NPI: 1225700115
Provider Name (Legal Business Name): APIC HEALTH SYSTEMS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/29/2021
Last Update Date: 10/27/2021
Certification Date: 10/27/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
400 E PRATT ST STE 836
BALTIMORE MD
21202-3122
US
IV. Provider business mailing address
400 E PRATT ST STE 836
BALTIMORE MD
21202-3122
US
V. Phone/Fax
- Phone: 443-247-5063
- Fax:
- Phone: 443-247-5063
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QR0400X |
| Taxonomy | Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 323P00000X |
| Taxonomy | Psychiatric Residential Treatment Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
VICTORIA
AKPAN
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 301-741-7847