NPI 1174960512

Universal Therapeutic Center, INC.

Organisation Preferred Provider Organization Catonsville, MD

Practice location

Address: 5602 Baltimore National Pike Suite 700, Catonsville, MD 21228-1411
Phone: (443) 315-5143
Fax: (443) 315-5345

Authorised official

Name: Abayomi Geoffrey Ajepe
Title: Ceo
Phone: (443) 315-5143

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1174960512
Entity type: Organization
NPI issued: 24 May 2013
Record last updated: 29 Dec 2015

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.