| Community Behavioral Health Llc | |
|
202 Coursevall Dr Ste 107 Centreville MD 21617-1835 | |
| (844) 224-5264 | |
| (888) 509-0010 |
| Full Name | Community Behavioral Health Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 202 Coursevall Dr Ste 107, Centreville, Maryland |
| Authorized Official Name and Position | Niranjan N Jani (CHIEF ADMINISTRATOR) |
| Authorized Official Contact | 4439449605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Behavioral Health Llc 106 Lee St Salisbury MD 21804-5938 Ph: (443) 944-9605 | Community Behavioral Health Llc 202 Coursevall Dr Ste 107 Centreville MD 21617-1835 Ph: (844) 224-5264 |
| NPI Number | 1821487158 |
|---|---|
| Provider Enumeration Date | 01/09/2015 |
| Last Update Date | 10/19/2020 |
| Certification Date | 10/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821487158 | NPI | - | NPPES |
| 4226127 02 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | D0037205 (Maryland) | Primary |
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