| NPI | 1497570402 |
|---|---|
| Doing Business As | ANTHEM BEHAVIORAL HEALTH, LLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER PETRIK CEO 443-567-6091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2025-02-13 |