| Community Behavioral Health | |
|
142 Coursevall Dr Centreville MD 21617-1824 | |
| (410) 758-1787 | |
| Not Available |
| Full Name | Community Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 142 Coursevall Dr, Centreville, Maryland |
| Authorized Official Name and Position | Stephanie Camper (ADMINISTRATOR) |
| Authorized Official Contact | 4107581787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Behavioral Health 142 Coursevall Dr Centreville MD 21617-1824 Ph: (410) 758-1787 | Community Behavioral Health 142 Coursevall Dr Centreville MD 21617-1824 Ph: (410) 758-1787 |
| NPI Number | 1063747947 |
|---|---|
| Provider Enumeration Date | 10/09/2009 |
| Last Update Date | 01/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063747947 | NPI | - | NPPES |
| 774800100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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