Basic Information
| Provider Information | |||||||||
| NPI: | 1386959757 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RELIANCE HEALTH SERVICES PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 91280 | ||||||||
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| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200901280 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2026365136 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1629 K ST NW STE 300 | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200061631 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2026369000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/10/2010 | ||||||||
| LastUpdateDate: | 06/29/2022 | ||||||||
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| AuthorizedOfficialLastName: | OKETOKUN | ||||||||
| AuthorizedOfficialFirstName: | ADEFOLAJU | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 2403500418 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 06/29/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QU0200X | DC | N | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care | 276400000X | N | Hospital Units | Rehabilitation, Substance Use Disorder Unit | 323P00000X | N | Residential Treatment Facilities | Psychiatric Residential Treatment Facility | 324500000X | N | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | 251B00000X | N | Agencies | Case Management | 251E00000X | N | Agencies | Home Health | 253Z00000X | N | Agencies | In Home Supportive Care | 261Q00000X | N | Ambulatory Health Care Facilities | Clinic/Center | 261QA0600X | DC | N | Ambulatory Health Care Facilities | Clinic/Center | Adult Day Care | 261QM0801X | DC | N | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | 261QR0405X | N | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Substance Use Disorder | 261QR0800X | N | Ambulatory Health Care Facilities | Clinic/Center | Recovery Care | 101Y00000X | DC | N | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Counselor | 208D00000X | DC | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | General Practice | 261QR0401X | Y | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
No ID Information.