Provider Demographics
NPI:1558240846
Name:AMITY INTEGRATED SERVICES, INC
Entity type:Organization
Organization Name:AMITY INTEGRATED SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GBENGA
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALOFE
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:443-682-5175
Mailing Address - Street 1:6022 GOSHAWK ST
Mailing Address - Street 2:
Mailing Address - City:NEW MARKET
Mailing Address - State:MD
Mailing Address - Zip Code:21774-6882
Mailing Address - Country:US
Mailing Address - Phone:443-683-5175
Mailing Address - Fax:
Practice Address - Street 1:6022 GOSHAWK ST
Practice Address - Street 2:
Practice Address - City:NEW MARKET
Practice Address - State:MD
Practice Address - Zip Code:21774-6882
Practice Address - Country:US
Practice Address - Phone:443-683-5175
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health