Organization
MDV PROMISE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN BROBBEY (OWNER)
(848) 256-0360
Entity
Organization
Contact information
Practice address
6724 CHILLUM MANOR RD, HYATTSVILLE, MD 20783-3010
(703) 944-6525
Mailing address
6724 CHILLUM MANOR RD, HYATTSVILLE, MD 20783-3010
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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