Provider Demographics
NPI:1386369767
Name:ARTHUR BEHAVIOURAL HEALTHCARE SERVICES
Entity type:Organization
Organization Name:ARTHUR BEHAVIOURAL HEALTHCARE SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:ASIAMAH
Authorized Official - Last Name:FOSU
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:240-752-4513
Mailing Address - Street 1:14502 GREENVIEW DR STE 427
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-3287
Mailing Address - Country:US
Mailing Address - Phone:240-752-4513
Mailing Address - Fax:949-577-4067
Practice Address - Street 1:14502 GREENVIEW DR # 427
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-3287
Practice Address - Country:US
Practice Address - Phone:240-360-7308
Practice Address - Fax:949-577-4067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-07
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)