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Organization
BK BEHAVIORAL HEALTH CENTER
Active
Organization
BK BEHAVIORAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE S KAMARA (PRESIDENT/CEO)
(301) 346-4687
Entity
Organization
Contact information
Practice address
14300 CHERRY LANE CT # 202-203, LAUREL, MD 20707-4958
(240) 360-2637
Mailing address
14300 CHERRY LANE CT # 202-203, LAUREL, MD 20707-4958
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267002000
—
MD
Enumeration date
05/23/2018
Last updated
05/23/2018
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