Provider Demographics
NPI:1053827238
Name:ROYAL MINDS INC.
Entity type:Organization
Organization Name:ROYAL MINDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AL MUFTAU
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-486-1238
Mailing Address - Street 1:111 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21225-3503
Mailing Address - Country:US
Mailing Address - Phone:240-486-1238
Mailing Address - Fax:
Practice Address - Street 1:500 WOODBOURNE AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-4244
Practice Address - Country:US
Practice Address - Phone:240-486-1238
Practice Address - Fax:240-486-1238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-25
Last Update Date:2017-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No310400000XNursing & Custodial Care FacilitiesAssisted Living FacilityGroup - Multi-Specialty