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Contact Information

MMBR BEHAVIORAL HEALTH SERVICES INC
3804 S.HANOVER ST
BROOKLYN, MD21225
 Phone: 443-438-3457
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Disorder Rehabilitation Facility

324500000X
 

Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

261QR0401X B4[14] Comprehensive Outpatient Rehabilitation Facility
Indicates primary specialty

NPI Profile & details for MMBR BEHAVIORAL HEALTH SERVICES INC

NPI Number 1346827250
LBN Legal business name MMBR BEHAVIORAL HEALTH SERVICES INC
Authorized official BOLAKUNMI YUSUF - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/26/2021
Last updated 01/18/2024 - About 2 years ago
Identifiers
MD Medicaid 3016555086
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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