Provider Demographics
NPI:1366238495
Name:ACCENTOR BEHAVIORAL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:ACCENTOR BEHAVIORAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:OBEHI
Authorized Official - Middle Name:
Authorized Official - Last Name:OMOIJUANFO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-520-3197
Mailing Address - Street 1:10001 DEREKWOOD LN STE 204
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-4864
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10001 DEREKWOOD LN STE 204
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-4864
Practice Address - Country:US
Practice Address - Phone:240-520-3197
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty