| Community Behavioral Health, Llc | |
|
9650 Santiago Rd Columbia MD 21045-3957 | |
| (844) 224-5264 | |
| (888) 509-0010 |
| Full Name | Community Behavioral Health, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9650 Santiago Rd, Columbia, Maryland |
| Authorized Official Name and Position | Lacy Gilbert (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 8442245264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Behavioral Health, Llc 821 Eastern Shore Dr Salisbury MD 21804-5943 Ph: (844) 224-5264 | Community Behavioral Health, Llc 9650 Santiago Rd Columbia MD 21045-3957 Ph: (844) 224-5264 |
| NPI Number | 1356880389 |
|---|---|
| Provider Enumeration Date | 02/23/2017 |
| Last Update Date | 09/28/2021 |
| Certification Date | 09/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356880389 | NPI | - | NPPES |
| 4220269 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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