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Organization
KINGDOM BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization
KINGDOM BEHAVIORAL HEALTH SERVICES, LLC
Active
Other names
Kingdom Behavioral Health Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAOFEEK BELLO PMHNP-CRNP BC (CHAIRMAN)
(301) 393-5500
Entity
Organization
Contact information
Practice address
5 PUBLIC SQ STE 200, HAGERSTOWN, MD 21740-5599
(301) 393-5500
Mailing address
5 PUBLIC SQ STE 200, HAGERSTOWN, MD 21740-5599
(301) 393-5500
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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