Kingdom Behavioral Health Llc is a healthcare organization in the HAGERSTOWN area. Kingdom Behavioral Health Llc primary office location is at 5 PUBLIC SQ STE 213 and new patients are welcome to contact this healthcare organization for an appointment. The NPI number is 1750904314 and the information was updated approximately 4 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: Unknown
Participates in PECOS: NO
Type/Issuer | Identifier | State |
---|---|---|
MEDICAID | 007559100 | MD |
Taxonomy | State | Primary? |
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Nurse Practitioner (Psych/Mental Health) - Taxonomy Code 363LP0808X | -- | Y |
Single Specialty Group - Taxonomy Code 193400000X | MD | N |