Dalev Behavioral Health Services | |
7722 Suffolk Way Hanover MD 21076-1916 | |
(301) 922-8670 | |
Not Available |
Full Name | Dalev Behavioral Health Services |
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Speciality | Clinic/Center |
Location | 7722 Suffolk Way, Hanover, Maryland |
Authorized Official Name and Position | Genevieve Kabuin (PRESIDENT) |
Authorized Official Contact | 3019228670 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dalev Behavioral Health Services 7722 Suffolk Way Hanover MD 21076-1916 Ph: (301) 922-8670 | Dalev Behavioral Health Services 7722 Suffolk Way Hanover MD 21076-1916 Ph: (301) 922-8670 |
NPI Number | 1891572509 |
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Provider Enumeration Date | 09/14/2023 |
Last Update Date | 09/14/2023 |
Certification Date | 09/14/2023 |
Medicare PECOS PAC ID | 9032563523 |
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Medicare Enrollment ID | O20231003000899 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891572509 | NPI | - | NPPES |
Provider Name | Genevieve Kabuin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316597636 PECOS PAC ID: 9537524186 Enrollment ID: I20230911000047 |
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