Organization
LIFESPAN BEHAVIORAL HEALTH SERVICES PC
Active
Parent organization
LIFESPAN BEHAVIORAL HEALTH SERVICES PC
Other names
Lifespan Behavioral Health Services PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFESPAN BEHAVIORAL HEALTH SERVICES PC
Authorized official
JOSHUA SUSSAL (MD/ CEO)
(301) 982-3437
Entity
Organization
Contact information
Practice address
3460 OLNEY LAYTONSVILLE RD STE 212, OLNEY, MD 20832-3701
(301) 982-3437
(301) 982-9452
Mailing address
3416 OLANDWOOD CT STE 201, OLNEY, MD 20832-1373
(301) 969-4060
(301) 982-9452
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
10/02/2023
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