Black Rock Integrative Medicine
Clinic/Center, Mental Health (Including Community Mental Health Center) in Frederick, MD. Organization (NPI-2).
NPI number1538095591
StatusActive
Last updated in NPPESJun 18, 2026
Details
- NPI
- 1538095591
- Entity type
- Organization (NPI-2)
- Legal business name
- Black Rock Integrative Medicine
- Organization subpart
- No
- Enumeration date
- Jun 18, 2026
- Certification date
- Jun 18, 2026
- Last updated
- Jun 18, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
5705 Industry Ln Ste 125Frederick, MD 21704-5163
Phone 301-790-4938 · Fax 866-441-1174
Mailing address
120 N Potomac StHagerstown, MD 21740-4810
Phone 301-790-4938
Authorized official
Sheri Lynn Denham
Owner
3017904938
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All 64 Mental Health Clinic/Center (Including Community Mental Health Center) providers in Frederick · All 5,755 providers in Frederick
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