NPI | 1629653894 |
---|---|
Former Legal Business Name | AGATE INTEGRATED AND BEHAVIORAL HEALTHCARE SERVICES INC |
Entity Type | Organization |
Authorized Contact | JIMOH ADEBAYO CEO 240-515-4868 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-03-10 |
Last Update Date | 2021-08-23 |