BROOK LANE BEHAVIORAL SERVICES INC. NPI 1538657630

NPI Information

BROOK LANE BEHAVIORAL SERVICES, INC. is a rehabilitation and substance use disorder clinic center in Frederick, MD. BROOK LANE BEHAVIORAL SERVICES, INC. NPI is 1538657630. The provider is registered as an organization entity type.

The provider's business location address is:

5301 BUCKEYSTOWN PIKE
FREDERICK, MD
ZIP 21704-370
Phone: (301) 733-0330
Fax: (301) 733-4038

The provider's authorized official is Jamie Lea Barkdoll .
The authorized official title is Cred Coordinator and has the following contact phone number (301) 733-0331.

The CLIA number assigned to this NPI record is 21D0976366 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2018 and was last updated on 10/1/2018.

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:

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