Provider Demographics
NPI:1932794484
Name:FLORENCE BEHAVIORAL HEALTH SERVICES,LLC
Entity Type:Organization
Organization Name:FLORENCE BEHAVIORAL HEALTH SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:OLU
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEBAYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-746-7771
Mailing Address - Street 1:419 MALCOLM DR STE A&B
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-6130
Mailing Address - Country:US
Mailing Address - Phone:410-505-0105
Mailing Address - Fax:410-914-1797
Practice Address - Street 1:419 MALCOLM DR STE A&B
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-6130
Practice Address - Country:US
Practice Address - Phone:410-505-0105
Practice Address - Fax:410-914-1797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-06
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health