Organization
KINGDOM BEHAVIORAL HEALTH SERVICES, LLC
Active
Other names
Kingdom Behavioral Health Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAOFEEK BELLO PMHNP-CRNP BC (CHAIRMAN)
(301) 393-5500
Entity
Organization
Contact information
Practice address
5 PUBLIC SQ STE 200, HAGERSTOWN, MD 21740-5599
(301) 393-5500
Mailing address
5 PUBLIC SQ STE 200, HAGERSTOWN, MD 21740-5599
(301) 393-5500
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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