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General NPI Number Information
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NPI Number | 1891420923
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Entity Type | Organization
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Legal Business Name | ASSOCIATE HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 07/21/2022
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 6 PARK CENTER CT STE 210
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5604
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Country | US
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Telephone | 410-413-1628
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Fax | 410-413-1644
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Provider Business Mailing Address
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Address Line | 2007 PAWNEE RD
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City | MIDDLE RIVER
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State | MD
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Zip | 21220-3678
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Country | US
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Telephone | 443-271-3013
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | AUGUSTINA OLAJUMOKE OPEEWE-OJO
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Credential | PSYCHIATRIC NP: DOCT
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Telephone | 443-271-3013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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