Organization
LIFESPAN BEHAVIORAL HEALTH SERVICES PC
Active
Parent organization
LIFESPAN BEHAVIORAL HEALTH SERVICES PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFESPAN BEHAVIORAL HEALTH SERVICES PC
Authorized official
CAROLYN REIDY (OFFICE ADMIN)
(800) 819-7570
Entity
Organization
Contact information
Practice address
3416 OLANDWOOD CT STE 201, OLNEY, MD 20832-1373
(301) 969-4060
Mailing address
2705 SILVER HAMMER WAY, BROOKEVILLE, MD 20833-3244
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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