Organization
CHILD & ADULT BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA GREENE CRNP-PMH (NURSE PRACTITIONER)
(240) 517-2650
Entity
Organization
Contact information
Practice address
7310 RITCHIE HWY, SUITE 406, GLEN BURNIE, MD 21061-3065
(240) 517-2650
Mailing address
7310 RITCHIE HWY, SUITE 406, GLEN BURNIE, MD 21061-3065
(240) 517-2650
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN1037447
DC
Other
Enumeration date
06/16/2015
Last updated
07/17/2015
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