# GREENBROOK TMS NEWARK, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013409176
- **Authorized official:** MS. EGAN PRATT RN (REGIONAL MANAGER)
- **Authorized official phone:** (301) 801-1472

## Contact information

- **Practice address:** 121 BECKS WOODS DR STE 202, BEAR, DE 19701-3852
- **Practice address phone:** (855) 755-4867
- **Mailing address:** 900 BESTGATE RD STE 102, ANNAPOLIS, MD 21401-3066
- **Mailing address phone:** (301) 801-1472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/05/2018
- **Last updated:** 06/05/2018