# EDCHA BEHAVIORAL HEALTH, LLC

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

## Provider details

- **NPI number:** 1245745918
- **Authorized official:** EDNER CHARLES CRNP (CRNP/ OWNER)
- **Authorized official phone:** (240) 419-2412

## Contact information

- **Practice address:** 2670 CRAIN HWY STE 401, WALDORF, MD 20601-2818
- **Practice address phone:** (240) 419-2412
- **Practice address fax:** (240) 419-2495
- **Mailing address:** 2670 CRAIN HWY STE 401, WALDORF, MD 20601-2818
- **Mailing address phone:** (240) 419-2412
- **Mailing address fax:** (240) 419-2495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | R229551 | MD | Yes |

## Other

- **Enumeration date:** 12/04/2017
- **Last updated:** 12/04/2017