Provider Demographics
NPI:1760124911
Name:FOCUS BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:FOCUS BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:UMEOBI
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:240-393-6770
Mailing Address - Street 1:1404 S MAIN CHAPEL WAY
Mailing Address - Street 2:STE 104 PMB 705
Mailing Address - City:GAMBRILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21054-1860
Mailing Address - Country:US
Mailing Address - Phone:240-393-6770
Mailing Address - Fax:
Practice Address - Street 1:12222 KINGSWELL ST
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-1952
Practice Address - Country:US
Practice Address - Phone:240-393-6770
Practice Address - Fax:240-393-6770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty