Provider Demographics
NPI:1437978459
Name:PATOG GLOBAL MENTAL HEALTH LLC
Entity type:Organization
Organization Name:PATOG GLOBAL MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:ONYEBERECHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-643-9501
Mailing Address - Street 1:100 E PENNSYLVANIA AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-0700
Mailing Address - Country:US
Mailing Address - Phone:240-643-9501
Mailing Address - Fax:
Practice Address - Street 1:100 E PENNSYLVANIA AVE STE 208
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-0700
Practice Address - Country:US
Practice Address - Phone:240-643-9501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation