Provider Demographics
NPI:1770024432
Name:UTOPIA HEALTH CENTER
Entity Type:Organization
Organization Name:UTOPIA HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:240-461-7187
Mailing Address - Street 1:7317 HANOVER PKWY STE A&B
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3614
Mailing Address - Country:US
Mailing Address - Phone:301-220-2842
Mailing Address - Fax:301-220-3842
Practice Address - Street 1:7317 HANOVER PKWY STE A&B
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3614
Practice Address - Country:US
Practice Address - Phone:301-220-2842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-14
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
BH0011117252Y00000X
MDBH0011117261QM0801X, 261QM0801X
MD261QM0850X, 261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Single Specialty
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD300246200Medicaid