Organization · NPI-2
Burris Behavioral Health LLC
Clinic/Center, Adult Mental Health · Belcamp, MD
NPI number1609297837
StatusActive
Last updated in NPPESDec 13, 2013
Details
- NPI
- 1609297837
- Entity type
- Organization (NPI-2)
- Legal business name
- Burris Behavioral Health LLC
- Organization subpart
- No
- Enumeration date
- Dec 13, 2013
- Last updated
- Dec 13, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | LC0372 | MD | Yes |
Other names
- Riverside Counseling Center (Doing Business As)
Practice location
1200 Brass Mill RdSuite A
Belcamp, MD 21017-1217
Phone 410-935-1489
Mailing address
1200 Brass Mill RoadSuite A
Belcamp, MD 21017
Phone 410-935-1489
Authorized official
Arthur Burris
President
4109351489
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