| Royal Behavioral Health Services Llc | |
|
1125 Windy Branch Way Edgewood MD 21040-2166 | |
| (667) 228-1735 | |
| Not Available |
| Full Name | Royal Behavioral Health Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1125 Windy Branch Way, Edgewood, Maryland |
| Authorized Official Name and Position | Victoria Pender (PRESIDENT/PROVIDER) |
| Authorized Official Contact | 6672281735 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Royal Behavioral Health Services Llc 1125 Windy Branch Way Edgewood MD 21040-2166 Ph: (667) 228-1735 | Royal Behavioral Health Services Llc 1125 Windy Branch Way Edgewood MD 21040-2166 Ph: (667) 228-1735 |
| NPI Number | 1003516626 |
|---|---|
| Provider Enumeration Date | 03/03/2023 |
| Last Update Date | 08/29/2024 |
| Certification Date | 08/29/2024 |
| Medicare PECOS PAC ID | 2668838574 |
|---|---|
| Medicare Enrollment ID | O20230519000158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003516626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Victoria Pender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679114755 PECOS PAC ID: 7012341613 Enrollment ID: I20200107000148 |
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