Provider Demographics
NPI:1477330793
Name:REMAC BEHAVIORAL HEALTH SOLUTIONS LLC
Entity Type:Organization
Organization Name:REMAC BEHAVIORAL HEALTH SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:OKENKPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-985-6492
Mailing Address - Street 1:1800 N CHARLES ST STE 306
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-5908
Mailing Address - Country:US
Mailing Address - Phone:443-985-6492
Mailing Address - Fax:
Practice Address - Street 1:1800 N CHARLES ST STE 306
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-5908
Practice Address - Country:US
Practice Address - Phone:443-985-6492
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-11
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center