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Organization

BROOK LANE BEHAVIORAL SERVICES, INC.

Active
Other names
Brook Lane Buckeystown
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA REPAC (CFO)
(301) 790-9351
Entity
Organization

Contact information

Practice address
4540 MACK AVE STE B, FREDERICK, MD 21703-3303
(301) 733-0330
(301) 733-4038
Mailing address
4540 MACK AVE STE B, FREDERICK, MD 21703-3303
(301) 733-0330
(301) 733-4038

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
10/01/2010
Last updated
09/23/2025
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