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Organization
BROOK LANE BEHAVIORAL SERVICES, INC.
Active
Organization
BROOK LANE BEHAVIORAL SERVICES, INC.
Active
Other names
Brook Lane Buckeystown
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA REPAC (CFO)
(301) 790-9351
Entity
Organization
Contact information
Practice address
4540 MACK AVE STE B, FREDERICK, MD 21703-3303
(301) 733-0330
(301) 733-4038
Mailing address
4540 MACK AVE STE B, FREDERICK, MD 21703-3303
(301) 733-0330
(301) 733-4038
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/01/2010
Last updated
09/23/2025
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