Provider Demographics
NPI:1992472526
Name:VILLAGE BEHAVIORAL HEALTH CENTER
Entity type:Organization
Organization Name:VILLAGE BEHAVIORAL HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUWAFEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:AFOLABI
Authorized Official - Suffix:
Authorized Official - Credentials:MSC
Authorized Official - Phone:667-225-0081
Mailing Address - Street 1:5526 BELAIR RD STE 101
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206-3614
Mailing Address - Country:US
Mailing Address - Phone:443-759-4184
Mailing Address - Fax:443-376-6999
Practice Address - Street 1:5526 BELAIR RD STE 101
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21206-3614
Practice Address - Country:US
Practice Address - Phone:443-759-4184
Practice Address - Fax:443-376-6999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-23
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)