Healthcare Provider Details

I. General information

NPI: 1548170178
Provider Name (Legal Business Name): KEMREM BEHAVIORAL HEALTHCARE SERVICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2333 BALTIMORE BLVD STE A
FINKSBURG MD
21048-1751
US

IV. Provider business mailing address

2333 BALTIMORE BLVD STE A
FINKSBURG MD
21048-1751
US

V. Phone/Fax

Practice location:
  • Phone: 410-226-4442
  • Fax: 443-399-8198
Mailing address:
  • Phone: 410-226-4442
  • Fax: 443-399-8198

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: AKINJIDE O AKINBOYE
Title or Position: CEO
Credential:
Phone: 410-226-4442