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General NPI Number Information
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NPI Number | 1548129430
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Entity Type | Organization
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Legal Business Name | COMPASS REACH INTEGRATED BEHAVIORAL HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 01/17/2026
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Last Update Date | 02/14/2026
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Provider Practice Location Address
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Address Line | 6521 GREENLEIGH AVE
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-2089
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Country | US
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Telephone | 240-661-3040
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Fax |
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Provider Business Mailing Address
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Address Line | 6521 GREENLEIGH AVE
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-2089
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Country | US
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Telephone | 240-661-3040
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. OMOLOLU OBE
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Credential |
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Telephone | 240-661-3040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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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 | 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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