Brook Lane Health Services, Inc.

NPI 1063721512 - Psychiatric Hospital - 283Q00000X

NPI Details
NPI 1063721512
Enumeration Date 10/01/2010
Last Updated 11/25/2015
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name KRISTY L KRISTY
Position MANAGED CARE COORDINATOR
Phone (301) 733-0330
Fax (301) 733-4038
Practice Location
5301 BUCKEYSTOWN PIKE
SUITE 170
FREDERICK MD, 21704-8370, US
Phone (301) 733-0330
Fax (301) 733-4038
Business Location
13121 BROOK LANE
HAGERSTOWN MD, 21742-1435, US
Phone (301) 733-0330
Fax (301) 733-4038
Toxanomy
Taxonomy Code 283Q00000X
License State Maryland
License Number 21-002
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According to our database, Brook Lane Health Services, Inc. NPI is 1063721512, taxonomy code is 283Q00000X and license number is 21-002, license state is located at Maryland. Brook Lane Health Services, Inc. physically located at 5301 Buckeystown Pike, Frederick MD, 21704-8370. NPI Number 1033115704 has the healthcare provider type.

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1063721512 NPI number is provided on an as is basis without warranty of any kind. 1063721512 is maintained by the National Plan & Provider Enumeration System. The contents of Brook Lane Health Services, Inc. are for informational purposes only.