Provider Demographics
NPI:1073108759
Name:OASIS HEALTH VENTURES
Entity Type:Organization
Organization Name:OASIS HEALTH VENTURES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:OLUFEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:OLAWALE
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP, MBA
Authorized Official - Phone:443-272-2614
Mailing Address - Street 1:2500 N ROLLING RD STE 100
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-1999
Mailing Address - Country:US
Mailing Address - Phone:443-854-5899
Mailing Address - Fax:443-272-2664
Practice Address - Street 1:2500 N ROLLING RD STE 100
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-1999
Practice Address - Country:US
Practice Address - Phone:443-854-5899
Practice Address - Fax:443-272-2664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-04
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility