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1295510113
LONG INTEGRATED PSYCHIATRIC SERVICES LLC
BALTIMORE, MD
NPI
1295510113
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Entity Type
Organization
Authorized Contact
ERIKA HEAVNER
Manager
410-508-0722
Organization Subpart ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2023-08-29
Last Update Date
2023-08-29
Business Address
LONG INTEGRATED PSYCHIATRIC SERVICES LLC
1101 N POINT BLVD STE 131
BALTIMORE, MD 21224-3417
Phone number: 410-508-0722
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Mailing Address
LONG INTEGRATED PSYCHIATRIC SERVICES LLC
11560 CROSSROADS CIR STE 102
MIDDLE RIVER, MD 21220-2885
Phone number: 410-508-0722
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