Provider Demographics
NPI:1043838956
Name:ALPHA NEW HOPE HEALTH SERVICES INC
Entity Type:Organization
Organization Name:ALPHA NEW HOPE HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AANU
Authorized Official - Middle Name:E
Authorized Official - Last Name:OLORUNSOLA
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:437-595-9554
Mailing Address - Street 1:2319B MARYLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-5010
Mailing Address - Country:US
Mailing Address - Phone:443-759-5955
Mailing Address - Fax:443-438-7809
Practice Address - Street 1:2319B MARYLAND AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-5010
Practice Address - Country:US
Practice Address - Phone:443-759-5955
Practice Address - Fax:443-438-7809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-07
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)