Lifebridge Community Physicians INC
Psychiatry & Neurology, Psychiatry in Baltimore, MD. Organization (NPI-2).
NPI number1871237206
StatusActive
Last updated in NPPESApr 22, 2022
Details
- NPI
- 1871237206
- Entity type
- Organization (NPI-2)
- Legal business name
- Lifebridge Community Physicians INC
- Organization subpart
- Yes
- Enumeration date
- Apr 22, 2022
- Certification date
- Apr 7, 2022
- Last updated
- Apr 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Other names
- Lbh Behavioral Heath Consultants-Levindale (Other Name)
Practice location
2434 W Belvedere AveBaltimore, MD 21215-5267
Phone 410-601-9355
Mailing address
2434 W Belvedere AveBaltimore, MD 21215-5267
Phone 410-601-9355
Authorized official
Mary Rebecca Wright-Sisk
Director
4436238926
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