MEDICARE: COMPASS REACH INTEGRATED BEHAVIORAL HEALTH SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1548129430
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASS REACH INTEGRATED BEHAVIORAL HEALTH SERVICES, LLC

Provider Business Mailing Address
First Line	:	6521 GREENLEIGH AVE
Second Line	:
City	:	MIDDLE RIVER
State	:	MD
Zip	:	21220-2089
Country	:	US
Telephone Number	:	240-661-3040
Fax Number	:

Provider Business Practice Location Address
First Line	:	6521 GREENLEIGH AVE
Second Line	:
City	:	MIDDLE RIVER
State	:	MD
Zip	:	21220-2089
Country	:	US
Telephone Number	:	240-661-3040
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MR. OMOLOLU OBE
Credential	:
Telephone Number	:	240-661-3040

Provider Enumeration Date	:	01/17/2026
Last Update Date	:	02/14/2026

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