Organization · NPI-2

Atofom LLC

Community/Behavioral Health · Bowie, MD

NPI number1083339733
StatusActive
Last updated in NPPESSep 1, 2026

Details

NPI
1083339733
Entity type
Organization (NPI-2)
Legal business name
Atofom LLC
Organization subpart
No
Enumeration date
Oct 5, 2022
Certification date
Sep 1, 2026
Last updated
Sep 1, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

15711 Ensleigh Ln
Bowie, MD 20716-3235

Phone 667-942-0288 · Fax 301-804-0257

Mailing address

15711 Ensleigh Ln
Bowie, MD 20716-3235

Phone 301-675-9644 · Fax 301-804-0257

Authorized official

Temitope Adebusoye
Owner
3016759644

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community/Behavioral Health providers in Bowie, MD