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BROOK LANE BEHAVIORAL SERVICES INC. NPI 1003304106


NPI Information

NPI: 1003304106
Provider Name: BROOK LANE BEHAVIORAL SERVICES, INC.
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
18714 N VILLAGE
HAGERSTOWN, MD
ZIP 21742
Phone: (301) 733-0330
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BROOK LANE BEHAVIORAL SERVICES, INC. is a rehabilitation and substance use disorder clinic center in Hagerstown, MD. BROOK LANE BEHAVIORAL SERVICES, INC. NPI is 1003304106. The provider is registered as an organization entity type.

The provider's business location address is:

18714 N VILLAGE
HAGERSTOWN, MD
ZIP 21742-454
Phone: (301) 733-0330
Fax: (301) 733-4038

The provider's authorized official is Michael Christopher Hann .
The authorized official title is Cmo and has the following contact phone number (301) 733-0330.

The enumeration date for this NPI number is 4/25/2018 and was last updated on 6/15/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderBH000028MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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