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Organization

BROOK LANE HEALTH SERVICES

Active
Other names
Adult PHP
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
3016
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
63503100
MD
Enumeration date
02/07/2006
Last updated
02/17/2026
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