Provider Demographics
NPI:1578331963
Name:AFFECTIONATE ALLIES, INC.
Entity Type:Organization
Organization Name:AFFECTIONATE ALLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ADEMOLA
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:AKINROGBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-525-5285
Mailing Address - Street 1:617 W PATRICK ST STE 243
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-4027
Mailing Address - Country:US
Mailing Address - Phone:410-525-5285
Mailing Address - Fax:410-525-5283
Practice Address - Street 1:617 W PATRICK ST STE 243
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4027
Practice Address - Country:US
Practice Address - Phone:443-545-6707
Practice Address - Fax:410-525-5283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-14
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities