Healthcare Provider Details

I. General information

NPI: 1245617042
Provider Name (Legal Business Name): ABA HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2015
Last Update Date: 04/25/2023
Certification Date: 04/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3939 REISTERSTOWN RD SUITE 150
BALTIMORE MD
21215-7601
US

IV. Provider business mailing address

3939 REISTERSTOWN RD STE 105
BALTIMORE MD
21215-7601
US

V. Phone/Fax

Practice location:
  • Phone: 410-367-7821
  • Fax: 410-367-7823
Mailing address:
  • Phone: 410-367-7821
  • Fax: 410-367-7823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number905477
License Number StateMD

VIII. Authorized Official

Name: DR. ALBERT NJOKU
Title or Position: CEO
Credential: DRPH
Phone: 410-367-7821