PRIME BEHAVIORAL HEALTH LLC

LAUREL, MD
NPI1164990818
Entity TypeOrganization
Authorized ContactJULIUS FOMENGIA
Partner
240-463-3357
Organization Subpart ?No
Primary Taxonomy261QM0801X 
Enumeration Date2018-11-10
Last Update Date2018-11-10
Business Address
PRIME BEHAVIORAL HEALTH LLC
13994 BALTIMORE AVE STE 102
LAUREL, MD 20707-5087
Phone number: 240-463-3357
Mailing Address
PRIME BEHAVIORAL HEALTH LLC
13994 BALTIMORE AVE STE 102
LAUREL, MD 20707-5087
Phone number:
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