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COMMUNITY BEHAVIORAL HEALTH LLC NPI 1700124831


NPI Information

NPI: 1700124831
Provider Name: COMMUNITY BEHAVIORAL HEALTH, LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
202 COURSEVALL DR STE 107
CENTREVILLE, MD
ZIP 21617
Phone: (844) 224-5264
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COMMUNITY BEHAVIORAL HEALTH, LLC is a community behavioral health in Centreville, MD. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. COMMUNITY BEHAVIORAL HEALTH, LLC NPI is 1700124831. The provider is registered as an organization entity type.

The provider's business location address is:

202 COURSEVALL DR STE 107
CENTREVILLE, MD
ZIP 21617-835
Phone: (844) 224-5264
Fax: (888) 509-0010

The provider's authorized official is Niranjan N Jani .
The authorized official title is Administrator and has the following contact phone number (410) 997-5500.

The enumeration date for this NPI number is 1/24/2013 and was last updated on 10/19/2020.


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
1251S00000XCommunity/Behavioral HealthD0037205MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14214471-00MEDICAIDMARYLAND

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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