GLORY HEALTH CENTER INC – NPI #1073532149
Clinic/Center

GLORY HEALTH CENTER INC is an AHC clinic located in BALTIMORE, MD. NPPES has assigned the NPI number 1073532149 to GLORY HEALTH CENTER INC on July 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GLORY HEALTH CENTER INC below.

NPI Profile for
GLORY HEALTH CENTER INC

NPI Number
1073532149
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GLORY HEALTH CENTER INC
Primary location
4705B HARFORD ROAD
BALTIMORE, MD 21214
Phone: (410) 444-0779 Fax: (410) 444-0669
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SAMSON AJAHI
CEO/PRESIDENT
Phone: (410) 444-0779
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.