Adeyinka Adedamola, HHA

Individual provider Active NPI Community/Behavioral Health Agency · Windsor Mill, MD

NPI 1316200439 · NPPES record last updated Dec 8, 2022

Key facts

NPI
1316200439
Entity type
Individual (NPI type 1)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Practice address
2415 Potterfield Rd
Windsor Mill, MD 21244-8007
Phone
(202) 545-0935
NPI assigned
Jun 22, 2012
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

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

Addresses

Primary practice location

2415 Potterfield Rd
Windsor Mill, MD 21244-8007

Mailing address

2415 Potterfield Rd
Windsor Mill, MD 21244-8007
Phone (202) 545-0935

Other providers in Windsor Mill, MD

All providers in Windsor Mill, MD · Community/Behavioral Health Agency in Maryland

Sources for this page

Verify at the official NPI Registry.