Organization
HAGERSTOWN INTEGRATIVE MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER GABRIEL BENNETT MSN, CRNP (PSYCHIATRIC NURSE PRACTITIONER)
(865) 804-4067
Entity
Organization
Contact information
Practice address
1185 MOUNT AETNA RD STE 102, HAGERSTOWN, MD 21740-6832
(865) 804-4067
Mailing address
14315 LUELLA PL, HAGERSTOWN, MD 21740-1186
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/07/2020
Last updated
03/07/2020
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