| Lifespan Behavioral Health Services Pc | |
|
101 E Chesapeake Ave Ste 401 Towson MD 21286-5337 | |
| (301) 982-3437 | |
| Not Available |
| Full Name | Lifespan Behavioral Health Services Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 101 E Chesapeake Ave Ste 401, Towson, Maryland |
| Authorized Official Name and Position | Joshua Sussal (CEO) |
| Authorized Official Contact | 3019823437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Behavioral Health Services Pc 101 E Chesapeake Ave Ste 401 Towson MD 21286-5337 Ph: () - | Lifespan Behavioral Health Services Pc 101 E Chesapeake Ave Ste 401 Towson MD 21286-5337 Ph: (301) 982-3437 |
| NPI Number | 1134928187 |
|---|---|
| Provider Enumeration Date | 03/12/2025 |
| Last Update Date | 03/12/2025 |
| Certification Date | 03/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134928187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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