Organization
BROOK LANE HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA REPAC (CFO)
(301) 790-9351
Entity
Organization
Contact information
Practice address
13215 BROOK LANE, HAGERSTOWN, MD 21742-1435
(301) 733-0330
(301) 733-4038
Mailing address
13121 BROOKLANE DR, HAGERSTOWN, MD 21742-1514
(301) 733-0330
(301) 733-4038
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
21-002
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063503100
—
MD
Enumeration date
01/31/2006
Last updated
02/17/2026
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