MEDICARE: ABSOLUTE CARE INC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1578182945
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABSOLUTE CARE INC

Provider Business Mailing Address
First Line	:	7515 ANNAPOLIS RD STE 409
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20784-1752
Country	:	US
Telephone Number	:	301-577-6500
Fax Number	:	240-467-3151

Provider Business Practice Location Address
First Line	:	7515 ANNAPOLIS RD STE 409
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20784-1752
Country	:	US
Telephone Number	:	301-577-6500
Fax Number	:	240-467-3151

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. ADEBISI S SANNI
Credential	:	BSN, MSN-BC, RN
Telephone Number	:	202-288-7898

Provider Enumeration Date	:	04/15/2020
Last Update Date	:	03/28/2023

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Directions to “ABSOLUTE CARE INC ” Practice Location

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