Organization
COMMUNITY BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHYAM BHAYANI (CHIEF ADMINISTRATOR)
(443) 878-5431
Entity
Organization
Contact information
Practice address
809 EASTERN SHORE DR, SALISBURY, MD 21804-5934
(844) 224-5262
Mailing address
817 EASTERN SHORE DR, SALISBURY, MD 21804-5943
(443) 944-9605
(888) 509-0010
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4226127
—
MD
Enumeration date
02/02/2016
Last updated
05/11/2022
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