| Exousia Behavioral Health, Llc | |
|
5625 Allentown Rd Ste 106 Suitland MD 20746-4521 | |
| (571) 409-1517 | |
| Not Available |
| Full Name | Exousia Behavioral Health, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5625 Allentown Rd Ste 106, Suitland, Maryland |
| Authorized Official Name and Position | Oluwakemi Adedayo Aje (MEDICAL DIRECTOR/CEO) |
| Authorized Official Contact | 5714091517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Exousia Behavioral Health, Llc 5625 Allentown Rd Ste 106 Suitland MD 20746-4521 Ph: (571) 409-1517 | Exousia Behavioral Health, Llc 5625 Allentown Rd Ste 106 Suitland MD 20746-4521 Ph: (571) 409-1517 |
| NPI Number | 1003696238 |
|---|---|
| Provider Enumeration Date | 10/04/2023 |
| Last Update Date | 10/05/2023 |
| Certification Date | 10/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003696238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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