Provider Demographics
NPI:1417695370
Name:MOTHER DRUM WELLNESS CENTER INC.
Entity Type:Organization
Organization Name:MOTHER DRUM WELLNESS CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TOSIN
Authorized Official - Middle Name:ESTHER
Authorized Official - Last Name:OLAKANYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-842-8140
Mailing Address - Street 1:9878 NOB HILL CT
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-4621
Mailing Address - Country:US
Mailing Address - Phone:954-842-8140
Mailing Address - Fax:
Practice Address - Street 1:9878 NOB HILL CT
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-4621
Practice Address - Country:US
Practice Address - Phone:954-842-8140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-21
Last Update Date:2022-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health