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Organization
BRIGHTER LIFE BEHAVIORAL HEALTH LLC
Active
Organization
BRIGHTER LIFE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WILLHEMINA NANA D AGORMEDA (DIRECTOR)
(301) 523-3030
Entity
Organization
Contact information
Practice address
7911 BRAYGREEN RD STE B, LAUREL, MD 20707-5002
(301) 523-3030
(301) 927-5777
Mailing address
7911 BRAYGREEN RD STE B, LAUREL, MD 20707-5002
(301) 523-3030
(301) 927-5777
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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