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Organization

HARBORSIDE BEHAVIORAL HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SABRINA SEPULVEDA CRNP-PMH (OWNER)
(301) 494-1009
Entity
Organization

Contact information

Practice address
41625 PARK AVE, LEONARDTOWN, MD 20650-3894
(301) 494-1009
(970) 296-5636
Mailing address
PO BOX 452, VALLEY LEE, MD 20692-0452
(443) 401-1376
(970) 296-5636

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
02/12/2019
Last updated
10/14/2022
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