Provider Demographics
NPI:1053501825
Name:ZENITH HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:ZENITH HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:
Authorized Official - Last Name:AYETIGBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-244-5599
Mailing Address - Street 1:800 N CHARLES ST STE 350
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-5362
Mailing Address - Country:US
Mailing Address - Phone:410-244-5599
Mailing Address - Fax:410-244-5588
Practice Address - Street 1:800 N CHARLES ST STE 350
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-5362
Practice Address - Country:US
Practice Address - Phone:410-244-5599
Practice Address - Fax:410-244-5588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-27
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2830261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health