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1972069201
HARBORSIDE BEHAVIORAL HEALTH, LLC
LEONARDTOWN, MD
NPI
1972069201
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Entity Type
Organization
Authorized Contact
SABRINA SEPULVEDA
Owner
301-494-1009
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2019-02-12
Last Update Date
2022-10-14
Business Address
HARBORSIDE BEHAVIORAL HEALTH, LLC
41625 PARK AVE
LEONARDTOWN, MD 20650-3894
Phone number: 301-494-1009
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Mailing Address
HARBORSIDE BEHAVIORAL HEALTH, LLC
PO BOX 452
VALLEY LEE, MD 20692-0452
Phone number: 443-401-1376
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