# MDV PROMISE BEHAVIORAL HEALTH

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

## Provider details

- **NPI number:** 1598335622
- **Authorized official:** STEPHEN BROBBEY (OWNER)
- **Authorized official phone:** (848) 256-0360

## Contact information

- **Practice address:** 6724 CHILLUM MANOR RD, HYATTSVILLE, MD 20783-3010
- **Practice address phone:** (703) 944-6525
- **Mailing address:** 6724 CHILLUM MANOR RD, HYATTSVILLE, MD 20783-3010

## Taxonomy

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

## Other

- **Enumeration date:** 06/30/2021
- **Last updated:** 06/30/2021
