Provider Demographics
NPI:1679945745
Name:YES INITIATIVE
Entity Type:Organization
Organization Name:YES INITIATIVE
Other - Org Name:CENTER FOR CREATIVE VALUES, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KAYODE
Authorized Official - Middle Name:
Authorized Official - Last Name:ATOLOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-929-8315
Mailing Address - Street 1:515 E JOPPA RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-5418
Mailing Address - Country:US
Mailing Address - Phone:410-337-0938
Mailing Address - Fax:410-337-2104
Practice Address - Street 1:515 E JOPPA RD
Practice Address - Street 2:SUITE 100
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-5418
Practice Address - Country:US
Practice Address - Phone:410-337-0938
Practice Address - Fax:410-337-2104
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTER FOR CREATIVE VALUES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-10-28
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD046041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4040830-00Medicaid