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Organization

BROOK LANE BEHAVIORAL SERVICES, INC.

Active
Other names
Frederick PHP
Organization subpart
No

Provider details

NPI number
Authorized official
JAMIE LEA BARKDOLL (CRED COORDINATOR)
(301) 733-0331
Entity
Organization

Contact information

Practice address
4540B MACK AVENUE, FREDERICK, MD 21701
(301) 733-0330
(301) 733-4038
Mailing address
13121 BROOK LANE, HAGERSTOWN, MD 21742-1435
(301) 733-0330
(301) 733-4038

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary

Other

Enumeration date
11/07/2011
Last updated
10/01/2018
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