| The Elysian Fields Optimum Wellness And Mental Health Group, Llc | |
|
2222 N Howard St Baltimore MD 21218-5609 | |
| (410) 624-5037 | |
| Not Available |
| Full Name | The Elysian Fields Optimum Wellness And Mental Health Group, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2222 N Howard St, Baltimore, Maryland |
| Authorized Official Name and Position | Arthur R Griffin (PRINCIPAL) |
| Authorized Official Contact | 9132269499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Elysian Fields Optimum Wellness And Mental Health Group, Llc 2222 N Howard St Baltimore MD 21218-5609 Ph: (410) 624-5037 | The Elysian Fields Optimum Wellness And Mental Health Group, Llc 2222 N Howard St Baltimore MD 21218-5609 Ph: (410) 624-5037 |
| NPI Number | 1568824472 |
|---|---|
| Provider Enumeration Date | 03/22/2016 |
| Last Update Date | 03/10/2023 |
| Certification Date | 03/10/2023 |
| Medicare PECOS PAC ID | 8426419235 |
|---|---|
| Medicare Enrollment ID | O20230726002222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568824472 | NPI | - | NPPES |
| Provider Name | Ayodeji B Olawale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598395725 PECOS PAC ID: 1759711278 Enrollment ID: I20200424001712 |
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