Glory Health Center Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GLORY HEALTH CENTER INC

Practice address

4705B Harford Road
Baltimore, MD 21214

Phone

(410) 444-0779

Fax

(410) 444-0669

NPI assigned

Jul 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Samson Tokun Ajahi, BSC, MS, MED, PHD

Title

Ceo/President

Phone

(410) 444-0779

Specialties & licenses 1

Addresses

Tax ID family

Glory Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Glory Health Center

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1447388632
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pattie D. Jackson, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1437357001
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073532149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705B HARFORD ROAD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21214",
            "telephone_number": "410-444-0779",
            "fax_number": "410-444-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705B HARFORD ROAD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21214",
            "telephone_number": "410-444-0779",
            "fax_number": "410-444-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORY HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AJAHI",
        "authorized_official_first_name": "SAMSON",
        "authorized_official_middle_name": "TOKUN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "410-444-0779",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSC, MS, MED, PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Global Medical & Health Services Baltimore, Inc
• Global Medical and Health Services LLC
• Nicole Gloff, MD
• Gloria Damien, MD, P.C.
• Glory Health Center
• Kyle Albert Glose, MD
• Christa M Gloster, LMSW
• Katherine Glotfelty, AGNP-C
• Mark Gloth, D.O.
• Meghan Gloth, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.