Organization
LIFEBRIDGE COMMUNITY PHYSICIANS INC
Active
Parent organization
LIFEBRIDGE COMMUNITY PHYSICIANS INC
Other names
LBH Behavioral Health Consultants
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFEBRIDGE COMMUNITY PHYSICIANS INC
Authorized official
MARY REBECCA WRIGHT-SISK (DIRECTOR)
(443) 623-8926
Entity
Organization
Contact information
Practice address
2000 W BALTIMORE ST, BALTIMORE, MD 21223-1558
(410) 362-3000
Mailing address
2000 W BALTIMORE ST, BALTIMORE, MD 21223-1558
(410) 362-3000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/16/2022
Last updated
04/07/2022
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