| Lifespan Behavioral Health Services Pc | |
|
1003 W 7th St Ste 200 Frederick MD 21701-4106 | |
| (301) 245-6300 | |
| Not Available |
| Full Name | Lifespan Behavioral Health Services Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1003 W 7th St Ste 200, Frederick, Maryland |
| Authorized Official Name and Position | Joshua Sussal (MD/CEO) |
| Authorized Official Contact | 3019823437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Behavioral Health Services Pc 1003 W 7th St Ste 200 Frederick MD 21701-4106 Ph: (301) 245-6300 | Lifespan Behavioral Health Services Pc 1003 W 7th St Ste 200 Frederick MD 21701-4106 Ph: (301) 245-6300 |
| NPI Number | 1003562299 |
|---|---|
| Provider Enumeration Date | 02/25/2022 |
| Last Update Date | 02/25/2022 |
| Certification Date | 02/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003562299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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› Verified 3 days ago
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