Provider Demographics
NPI:1043727183
Name:TREASURE HEALTH SYSTEMS, INC
Entity type:Organization
Organization Name:TREASURE HEALTH SYSTEMS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AKINJIDE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ADEWOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-825-7019
Mailing Address - Street 1:1900 E NORTHERN PKWY STE 301
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21239-2111
Mailing Address - Country:US
Mailing Address - Phone:410-800-4484
Mailing Address - Fax:410-995-7447
Practice Address - Street 1:1900 E NORTHERN PKWY STE 301
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21239-2111
Practice Address - Country:US
Practice Address - Phone:410-800-4484
Practice Address - Fax:410-995-7447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-10
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMH-2438261QM0850X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health