NPIMap

Organization Active NPI

Erosun Behavioral Health Services Inc,

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Owings Mills, MD
National Provider Identifier
1710580733
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
EROSUN BEHAVIORAL HEALTH SERVICES INC,
Practice address
10811 Red Run Blvd Ste 110
Owings Mills, MD 21117-5150
Phone
(410) 296-4641
Fax
(410) 296-4643
NPI assigned
Nov 20, 2020
Last updated
Apr 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Authorized official

Name
Segun Oladunni
Title
Ceo
Phone
(410) 296-4641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

10811 Red Run Blvd Ste 110
Owings Mills, MD 21117-5150

Mailing address

1045 Taylor Ave Ste 101
Towson, MD 21286-8357
Phone (410) 296-4641

Other practice location 1

1045 Taylor Ave Ste 101
Towson, MD 21286-8357
Phone (410) 296-4641

National Provider Directory

National Provider Directory
Tax ID family
Erosun Medical Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1710580733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 TAYLOR AVE STE 101",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212868357",
            "telephone_number": "410-296-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10811 RED RUN BLVD STE 110",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175150",
            "telephone_number": "410-296-4641",
            "fax_number": "410-296-4643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 Taylor Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212868357",
            "country_code": "US",
            "telephone_number": "410-296-4641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EROSUN BEHAVIORAL HEALTH SERVICES INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "OLADUNNI",
        "authorized_official_first_name": "SEGUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-296-4641"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.