| Anthem Behavioral Health, Llc | |
|
2930 Strathaven Ln Abingdon MD 21009-1823 | |
| (410) 459-7699 | |
| Not Available |
| Full Name | Anthem Behavioral Health, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2930 Strathaven Ln, Abingdon, Maryland |
| Authorized Official Name and Position | Jennifer Petrik (CEO) |
| Authorized Official Contact | 4104597699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthem Behavioral Health, Llc 2930 Strathaven Ln Abingdon MD 21009-1823 Ph: (410) 459-7699 | Anthem Behavioral Health, Llc 2930 Strathaven Ln Abingdon MD 21009-1823 Ph: (410) 459-7699 |
| NPI Number | 1417736091 |
|---|---|
| Provider Enumeration Date | 09/25/2023 |
| Last Update Date | 09/25/2023 |
| Certification Date | 09/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417736091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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