| Community Behavioral Health, Llc | |
|
30519 Prince William St Apt 1 Princess Anne MD 21853-1246 | |
| (844) 224-5264 | |
| Not Available |
| Full Name | Community Behavioral Health, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 30519 Prince William St Apt 1, Princess Anne, Maryland |
| Authorized Official Name and Position | Lacy Gilbert (CREDENTIAL MANAGER) |
| Authorized Official Contact | 8442245264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Behavioral Health, Llc 426 Dorchester Ave Cambridge MD 21613-2446 Ph: (844) 224-5264 | Community Behavioral Health, Llc 30519 Prince William St Apt 1 Princess Anne MD 21853-1246 Ph: (844) 224-5264 |
| NPI Number | 1902432198 |
|---|---|
| Provider Enumeration Date | 03/19/2020 |
| Last Update Date | 03/19/2020 |
| Certification Date | 03/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902432198 | NPI | - | NPPES |
| 422612701 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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