OrganizationActive
Agate Integrated and Behavioral Healthcare Services
NPI 1871245811 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Baltimore, MD
Provider details
- NPI number
- 1871245811
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jimoh Adebayo, Ceo(240) 515-4868
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Practice location
3218 Greenmount Ave
Baltimore, MD 21218-3438
Phone: (443) 934-0084
Approximate (ZIP-level) locationGet directions
Mailing address
3218 Greenmount Avenue
Baltimore, MD 21218
Registry dates
- Enumerated
- 2022-01-20
- Last updated
- 2026-01-12
- Certified
- 2026-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.