NPI 1154861383

Diversity Behavioral Health Services

Organisation Exclusive Provider Organization Lanham, MD

Practice location

Address: 9470 Annapolis Rd Suite411, Lanham, MD 20706-3025
Phone: (443) 845-0452
Mailing address: 9470 Annapolis Rd Suite 411, Lanham, MD 20706-3025

Authorised official

Name: Alex Ike Okeke
Title: Director
Phone: (443) 845-0452

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Registry record

NPI: 1154861383
Entity type: Organization
NPI issued: 7 Mar 2017
Record last updated: 7 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.