Provider Demographics
NPI:1124576392
Name:UPTOWN HOPE LLC
Entity Type:Organization
Organization Name:UPTOWN HOPE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TUNJI
Authorized Official - Middle Name:
Authorized Official - Last Name:OYEFUSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-326-5069
Mailing Address - Street 1:300 REDLAND CT
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-3271
Mailing Address - Country:US
Mailing Address - Phone:443-326-5069
Mailing Address - Fax:
Practice Address - Street 1:300 REDLAND CT
Practice Address - Street 2:SUITE 200
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-3271
Practice Address - Country:US
Practice Address - Phone:443-326-5069
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-16
Last Update Date:2016-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMH - 2099251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health