Organization
COMMUNITY BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIRANJAN N JANI M.D. (CHIEF ADMINISTRATOR)
(443) 944-9605
Entity
Organization
Contact information
Practice address
202 COURSEVALL DR STE 107, CENTREVILLE, MD 21617-1835
(844) 224-5264
(888) 509-0010
Mailing address
106 LEE ST, SALISBURY, MD 21804-5938
(443) 944-9605
(888) 509-0010
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
D0037205
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4226127 02
—
MD
Enumeration date
01/09/2015
Last updated
10/19/2020
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