Organization
BROOK LANE HEALTH SERVICES/STONEBRIDGE
Active
Parent organization
BROOK LANE HEALTH SERVICES/STONEBRIDGE
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOK LANE HEALTH SERVICES/STONEBRIDGE
Authorized official
MRS. KRISTY L POFFENBERGER (MANAGED CARE COORDINATOR)
(301) 733-0331
Entity
Organization
Contact information
Practice address
13218 BROOK LANE DRIVE, HAGERSTOWN, MD 21742-1945
(301) 733-0330
(301) 733-4038
Mailing address
13121 BROOK LANE, HAGERSTOWN, MD 21742-1945
(301) 733-0330
(301) 733-4038
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
00075
MD
Other
Enumeration date
09/30/2008
Last updated
11/25/2015
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