Organization
COMMUNITY BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LACY GILBERT (DIRECTOR OF OPERATIONS)
(844) 224-5264
Entity
Organization
Contact information
Practice address
9650 SANTIAGO RD, COLUMBIA, MD 21045-3957
(844) 224-5264
(888) 509-0010
Mailing address
821 EASTERN SHORE DR, SALISBURY, MD 21804-5943
(844) 224-5264
(888) 509-0010
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4226119
—
MD
Enumeration date
02/23/2017
Last updated
07/08/2020
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