Bna Behavioral Health LLC
Community/Behavioral Health in Glen Burnie, MD. Organization (NPI-2).
NPI number1417768912
StatusActive
Last updated in NPPESJan 15, 2025
Details
- NPI
- 1417768912
- Entity type
- Organization (NPI-2)
- Legal business name
- Bna Behavioral Health LLC
- Organization subpart
- No
- Enumeration date
- Jan 15, 2025
- Certification date
- Jan 15, 2025
- Last updated
- Jan 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
233 Poplar AveGlen Burnie, MD 21061-2462
Phone 240-401-1141
Mailing address
233 Poplar AveGlen Burnie, MD 21061-2462
Phone 240-401-1141
Authorized official
Melissa Simkin-Brocato
Compliance Officer
4435178724
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