Provider Demographics
NPI:1245702745
Name:YES INITIATIVE OUTPATIENT MENTAL HEALTH CLINIC INC
Entity type:Organization
Organization Name:YES INITIATIVE OUTPATIENT MENTAL HEALTH CLINIC INC
Other - Org Name:
Other - Org Type:
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 STE 100
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-1804
Mailing Address - Country:US
Mailing Address - Phone:443-929-8315
Mailing Address - Fax:
Practice Address - Street 1:515 E JOPPA RD STE 100
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-1804
Practice Address - Country:US
Practice Address - Phone:443-929-8315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-20
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)