| Dept Of Behavioral Health Services-psychiatry | |
|
11116 Medical Campus Rd 1west Hagerstown MD 21742-6710 | |
| (240) 313-9500 | |
| (240) 313-9530 |
| Full Name | Dept Of Behavioral Health Services-psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 11116 Medical Campus Rd, Hagerstown, Maryland |
| Authorized Official Name and Position | Joshua Repac (CFO) |
| Authorized Official Contact | 3017909351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dept Of Behavioral Health Services-psychiatry 11116 Medical Campus Rd Hagerstown MD 21742-6710 Ph: (240) 313-9500 | Dept Of Behavioral Health Services-psychiatry 11116 Medical Campus Rd 1west Hagerstown MD 21742-6710 Ph: (240) 313-9500 |
| NPI Number | 1659517936 |
|---|---|
| Provider Enumeration Date | 12/17/2008 |
| Last Update Date | 10/26/2022 |
| Certification Date | 10/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659517936 | NPI | - | NPPES |
| 159218100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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