| Kingdom Behavioral Health Llc | |
|
5 Public Sq Ste 213 Hagerstown MD 21740-5599 | |
| (443) 968-1153 | |
| Not Available |
| Full Name | Kingdom Behavioral Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5 Public Sq Ste 213, Hagerstown, Maryland |
| Authorized Official Name and Position | Taofeek Adekunle Bello (PRESIDENT/CEO) |
| Authorized Official Contact | 4439681153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingdom Behavioral Health Llc 5 Public Sq Ste 213 Hagerstown MD 21740-5599 Ph: (443) 968-1153 | Kingdom Behavioral Health Llc 5 Public Sq Ste 213 Hagerstown MD 21740-5599 Ph: (443) 968-1153 |
| NPI Number | 1023627510 |
|---|---|
| Provider Enumeration Date | 07/30/2020 |
| Last Update Date | 07/30/2020 |
| Certification Date | 07/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023627510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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