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General NPI Number Information
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NPI Number | 1366317877
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Entity Type | Organization
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Legal Business Name | HOPE SPRINGS RENEWAL CENTER
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 12/07/2025
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Provider Practice Location Address
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Address Line | 3434 ROCKEFELLER CT UNIT 3
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City | WALDORF
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State | MD
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Zip | 20602-2754
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Country | US
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Telephone | 443-979-4793
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Fax |
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Provider Business Mailing Address
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Address Line | 3950 48TH ST
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City | BLADENSBURG
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State | MD
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Zip | 20710-2109
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Country | US
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Telephone | 240-960-7515
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | OLASUNKANMI PETER ATOKI
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Credential | CPRP
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Telephone | 443-979-4793
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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