Healthcare Provider Details

I. General information

NPI: 1902386618
Provider Name (Legal Business Name): UTOPIA HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2018
Last Update Date: 12/02/2024
Certification Date: 12/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7317 HANOVER PKWY SUITE A AND B
GREENBELT MD
20770
US

IV. Provider business mailing address

7317 HANOVER PKWY SUITE A AND B
GREENBELT MD
20770-3614
US

V. Phone/Fax

Practice location:
  • Phone: 301-220-2842
  • Fax: 301-220-3842
Mailing address:
  • Phone: 301-220-2842
  • Fax: 301-220-3842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberBH001117
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License NumberBH001117
License Number StateMD

VIII. Authorized Official

Name: MR. OUMAR HILL
Title or Position: CEO
Credential: MBA
Phone: 301-220-2842