# BEHAVIORAL HEALTH AFFILIATES LLC

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

## Provider details

- **NPI number:** 1619649415
- **Authorized official:** EBONY CROSS CRNP-PMH (OWNER)
- **Authorized official phone:** (919) 408-4627

## Contact information

- **Practice address:** 2670 CRAIN HWY STE 510, WALDORF, MD 20601-2819
- **Practice address phone:** (301) 374-8772
- **Practice address fax:** (301) 374-8774
- **Mailing address:** 2107 TURLEYGREEN PL, UPPER MARLBORO, MD 20774-8984
- **Mailing address phone:** (919) 408-4627

## 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:** 09/30/2021
- **Last updated:** 09/30/2021