Provider Demographics
NPI:1073383832
Name:ACTION BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:ACTION BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:EBELE
Authorized Official - Middle Name:
Authorized Official - Last Name:OLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-272-1112
Mailing Address - Street 1:2601 ROSLYN AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21216-2218
Mailing Address - Country:US
Mailing Address - Phone:443-272-1112
Mailing Address - Fax:
Practice Address - Street 1:2601 ROSLYN AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21216-2218
Practice Address - Country:US
Practice Address - Phone:443-272-1112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-03
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No276400000XHospital UnitsRehabilitation, Substance Use Disorder UnitGroup - Multi-Specialty