Organization
LONG INTEGRATED PSYCHIATRIC SERVICES LLC
Active
Parent organization
LONG INTEGRATED PSYCHIATRIC SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LONG INTEGRATED PSYCHIATRIC SERVICES LLC
Authorized official
ANGELA DESIREE LONG (OWNER)
(410) 508-0722
Entity
Organization
Contact information
Practice address
11560 CROSSROADS CIR STE 102, MIDDLE RIVER, MD 21220-2885
(410) 508-0722
Mailing address
7652 BELAIR RD STE A, BALTIMORE, MD 21236-4067
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/16/2021
Last updated
05/30/2024
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