Provider Demographics
NPI:1174290027
Name:PERSON-CENTERED HEALTH GROUP INC
Entity Type:Organization
Organization Name:PERSON-CENTERED HEALTH GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AKINYEMI
Authorized Official - Middle Name:TAIWO
Authorized Official - Last Name:JELENKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-425-7465
Mailing Address - Street 1:1001 PINE HEIGHTS AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-5284
Mailing Address - Country:US
Mailing Address - Phone:240-425-7465
Mailing Address - Fax:443-438-3753
Practice Address - Street 1:1001 PINE HEIGHTS AVE STE 201
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-5284
Practice Address - Country:US
Practice Address - Phone:240-425-7465
Practice Address - Fax:443-438-3753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)