| NPI | 1346925484 |
|---|---|
| Other Name | BROOK LANE CUMBERLAND |
| Entity Type | Organization |
| Authorized Contact | MICHAEL CHRISTOPHER HANN Chief Medical Officer 301-733-0331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-06-16 |