Organization
COMMUNITY BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACY GILBERT (CREDENTIAL MANAGER)
(844) 224-5264
Entity
Organization
Contact information
Practice address
9650 SANTIAGO RD, COLUMBIA, MD 21045-3957
(844) 224-5264
(888) 509-0010
Mailing address
426 DORCHESTER AVE, CAMBRIDGE, MD 21613-2446
(844) 224-5264
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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