| NPI | 1063721512 |
|---|---|
| Other Name | BROOK LANE BUCKEYSTOWN |
| Entity Type | Organization |
| Authorized Contact | JAMIE LEA BARKDOLL Cred Coordinator 301-733-0331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2018-10-01 |