NPI 1003562299
Lifespan Behavioral Health Services PC
Practice location
- Address
- 1003 W 7th St STE 200, Frederick, MD 21701-4106
- Phone
- (301) 245-6300
Authorised official
- Name
- Joshua Sussal
- Title
- Md/Ceo
- Phone
- (301) 982-3437
Registered specialties
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
Registry record
- NPI
- 1003562299
- Entity type
- Organization
- NPI issued
- 25 Feb 2022
- Record last updated
- 25 Feb 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.