Organization
BROOK LANE HEALTH SERVICES/LAUREL HALL
Active
Parent organization
BROOK LANE HEALTH SERVICES
Other names
Laurel Hall School
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROOK LANE HEALTH SERVICES
Authorized official
MRS. KRISTY POFFENBERGER (COORDINATOR/MANAGED CARE)
(301) 733-0331
Entity
Organization
Contact information
Practice address
13310-A BROOK LANE, HAGERSTOWN, MD 21742-1514
(301) 733-0330
(301) 733-4038
Mailing address
13310-A BROOK LANE, HAGERSTOWN, MD 21742-1514
(301) 733-0330
(301) 733-4038
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
3852
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
568605900
—
MD
Enumeration date
02/02/2015
Last updated
02/14/2017
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