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Organization
LIFESPAN BEHAVIORAL HEALTH SERVICES PC
Active
Organization
LIFESPAN BEHAVIORAL HEALTH SERVICES PC
Active
Parent organization
LIFESPAN BEHAVIORAL HEALTH SERVICES PC
Other names
Lifespan Behavioral Health Services PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFESPAN BEHAVIORAL HEALTH SERVICES PC
Authorized official
JOSHUA SUSSAL (MD/CEO)
(301) 982-3437
Entity
Organization
Contact information
Practice address
1003 W 7TH ST STE 200, FREDERICK, MD 21701-4106
(301) 245-6300
Mailing address
1003 W 7TH ST STE 200, FREDERICK, MD 21701-4106
(301) 245-6300
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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