Provider Demographics
NPI:1659111417
Name:EVERLASTING ARMS INC.
Entity type:Organization
Organization Name:EVERLASTING ARMS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAWODU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-967-9202
Mailing Address - Street 1:5610 HARFORD RD STE 304
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21214-2247
Mailing Address - Country:US
Mailing Address - Phone:410-967-9202
Mailing Address - Fax:
Practice Address - Street 1:5610 HARFORD RD STE 304
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21214-2247
Practice Address - Country:US
Practice Address - Phone:410-967-9202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-29
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation