| Organization Name: | NATIONAL PIKE HEALTH CENTER, INC |
| NPI Number: | 1508881384 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHNSON OLUDARE OWOYEMI (PRESIDENT) |
| Mailing Address: | 6 N Dundalk Ave Dundalk |
| State: | MD US |
| Postal Code: | 212224221 |
| Phone Number: | 4102825401 |
| Fax Number: | 4102825403 |
| NPI Enumeration Date: | 07/13/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 10041, 10075 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |