Provider Demographics
NPI:1578145736
Name:ATOSK HEALTHCARE SERVICES, INC
Entity Type:Organization
Organization Name:ATOSK HEALTHCARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:
Authorized Official - Last Name:OLADEINDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-321-6826
Mailing Address - Street 1:1055 TAYLOR AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-8341
Mailing Address - Country:US
Mailing Address - Phone:410-321-6826
Mailing Address - Fax:443-808-0907
Practice Address - Street 1:1055 TAYLOR AVE STE 100
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-8308
Practice Address - Country:US
Practice Address - Phone:410-321-6826
Practice Address - Fax:443-808-0907
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ATOSK HEALTHCARE SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-26
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health