North Village

LBN: Brook Lane Behavioral Services, Inc.
North Village is an health care organization with primary practice located at 18714 N Village Shopping Center, Hagerstown MD 21742-2454. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Brook Lane Behavioral Services, Inc. can be contacted via phone (301) 733-0330, or through Barkdoll, Jamie Lea via phone (301) 733-0331.

Contact Information

Primary practice address
18714 N Village Shopping Center Hagerstown MD 21742-2454
Phone: (301) 733-0330
Fax: (301) 733-4038
Website:
Map and Directions
Authorized official contact:
Name: Barkdoll, Jamie Lea
Phone: (301) 733-0331

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 12391 Maryland

Profile Details

NPI number 1417928151
LBN Legal business name Brook Lane Behavioral Services, Inc.
DBA Doing business as North Village
Authorized official Barkdoll, Jamie Lea
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2006
Last updated Oct 1st, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417928151 NPPES
Maryland MEDICAID 698800800

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