Organization
LIBERTY BEHAVIORAL HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUINTA MANENJU CRNP-PMH (OWNER)
(240) 595-5511
Entity
Organization
Contact information
Practice address
10903 GLENSHIRE DR, GLENN DALE, MD 20769-9160
(240) 595-5511
Mailing address
10903 GLENSHIRE DR, GLENN DALE, MD 20769-9160
(240) 595-5511
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
08/14/2024
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