Organization
COMMUNITY BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACY GILBERT (CREDENTIAL MANAGER)
(844) 224-5264
Entity
Organization
Contact information
Practice address
107 E MARKET ST, SNOW HILL, MD 21863-1048
(844) 224-5264
(888) 509-0010
Mailing address
817 EASTERN SHORE DR, SALISBURY, MD 21804-5943
(844) 224-5264
(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
—
422612701
—
MD
Enumeration date
09/03/2020
Last updated
09/03/2020
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