Provider Demographics
NPI:1598397572
Name:ROYAL MINDS INC
Entity Type:Organization
Organization Name:ROYAL MINDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AL MUFTAU
Authorized Official - Middle Name:A
Authorized Official - Last Name:ADEITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-943-2424
Mailing Address - Street 1:3719 E BALTIMORE ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-1509
Mailing Address - Country:US
Mailing Address - Phone:410-943-2424
Mailing Address - Fax:
Practice Address - Street 1:2767 THE ALAMEDA
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-4921
Practice Address - Country:US
Practice Address - Phone:410-943-2424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-07
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility