Organization Active NPI

Awele Treatment & Rehab Clinic, Inc.

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1124156955
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AWELE TREATMENT & REHAB CLINIC, INC.
Doing business as
ATRC
Practice address
1901 Saint Paul St
Baltimore, MD 21218-6036
Phone
(410) 467-2518
Fax
(410) 467-9588
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ajibike O Salako-Akande, MD
Title
Ceo
Phone
(410) 467-2518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MD Primary

Addresses

Primary practice location

1901 Saint Paul St
Baltimore, MD 21218-6036

Mailing address

1901 Saint Paul St
Baltimore, MD 21218-6036
Phone (410) 467-2518

Other names 1

  • ATRC Doing business as

National Provider Directory

National Provider Directory

Locations

1901 Saint Paul St
Baltimore, MD 21218
Phone (410) 467-2518

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124156955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 SAINT PAUL ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212186036",
            "telephone_number": "410-467-2518",
            "fax_number": "410-467-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 SAINT PAUL ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212186036",
            "telephone_number": "410-467-2518",
            "fax_number": "410-467-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWELE TREATMENT & REHAB CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALAKO-AKANDE",
        "authorized_official_first_name": "AJIBIKE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-467-2518",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATRC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • 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.