| Kingdom Behavioral Health Services, Llc | |
|
5 Public Sq Ste 200 Hagerstown MD 21740-5599 | |
| (301) 393-5500 | |
| (301) 393-5600 |
| Full Name | Kingdom Behavioral Health Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5 Public Sq Ste 200, Hagerstown, Maryland |
| Authorized Official Name and Position | Taofeek Bello (CHAIRMAN) |
| Authorized Official Contact | 4439681153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingdom Behavioral Health Services, Llc 5 Public Sq Ste 200 Hagerstown MD 21740-5599 Ph: (301) 393-5500 | Kingdom Behavioral Health Services, Llc 5 Public Sq Ste 200 Hagerstown MD 21740-5599 Ph: (301) 393-5500 |
| NPI Number | 1174309637 |
|---|---|
| Provider Enumeration Date | 08/31/2023 |
| Last Update Date | 08/31/2023 |
| Certification Date | 08/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174309637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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