Organization
BRIGHT HORIZONS BEHAVIORAL HEALTH, LLC
Active
Parent organization
BRIGHT HORIZONS BEHAVIORAL HEALTH, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRIGHT HORIZONS BEHAVIORAL HEALTH, LLC
Authorized official
SANDRA MARTIN (CHIEF EXECUTIVE OFFICER)
(571) 288-3314
Entity
Organization
Contact information
Practice address
1502 JOH AVE, SUITE 180, BALTIMORE, MD 21227-1137
(571) 288-3314
(888) 760-4333
Mailing address
PO BOX 1212, COLUMBIA, MD 21044-0212
(571) 288-3314
(888) 760-4333
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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