NPI 1861643595

Brook Lane Health Services/Stonebridge

Organisation Psychiatric Hospital Hagerstown, MD

Practice location

Address: 13218 Brook Lane Drive, Hagerstown, MD 21742-1945
Phone: (301) 733-0330
Fax: (301) 733-4038
Mailing address: 13121 Brook Lane, Hagerstown, MD 21742-1945

Authorised official

Name: Kristy L Poffenberger
Title: Managed Care Coordinator
Phone: (301) 733-0331

Registered specialties

Psychiatric Hospital Primary

Hospitals Taxonomy 283Q00000X Licence 00075 (MD)

Other Psychiatric Hospital providers in Maryland →

Registry record

NPI: 1861643595
Entity type: Organization
NPI issued: 30 Sep 2008
Record last updated: 25 Nov 2015

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.