NPI | 1972314664 |
---|---|
Former Legal Business Name | AGATE INTEGRATED AND BEHAVIORAL HEALTHCARE SERVICE |
Entity Type | Organization |
Authorized Contact | JIMOH A ADEBAYO CEO 240-515-4868 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2025-01-14 |
Last Update Date | 2025-01-14 |