| Positive Behavioral Health Services | |
|
11805 Pika Dr Waldorf MD 20602-3732 | |
| (734) 322-7744 | |
| Not Available |
| Full Name | Positive Behavioral Health Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11805 Pika Dr, Waldorf, Maryland |
| Authorized Official Name and Position | Andre Serge Libock (CEO) |
| Authorized Official Contact | 7343227744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Behavioral Health Services 11805 Pika Dr Waldorf MD 20602-3732 Ph: () - | Positive Behavioral Health Services 11805 Pika Dr Waldorf MD 20602-3732 Ph: (734) 322-7744 |
| NPI Number | 1780526210 |
|---|---|
| Provider Enumeration Date | 04/06/2026 |
| Last Update Date | 04/06/2026 |
| Certification Date | 04/06/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780526210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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