Organization
LONG INTEGRATED PSYCHIATRIC SERVICES LLC
Active
Other names
Long Integrated Psychiatric Services
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA LONG CRNP (OWNER)
(410) 508-0722
Entity
Organization
Contact information
Practice address
11560 CROSSROADS CIR, MIDDLE RIVER, MD 21220-2885
(410) 508-0722
Mailing address
11560 CROSSROADS CIR STE 102, MIDDLE RIVER, MD 21220-2885
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
03/21/2023
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