Provider Demographics
NPI:1598948937
Name:CBH HEALTH LIFE SKILLS
Entity Type:Organization
Organization Name:CBH HEALTH LIFE SKILLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:F
Authorized Official - Last Name:PINES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:301-527-0701
Mailing Address - Street 1:15944 LUANNE DR
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-1408
Mailing Address - Country:US
Mailing Address - Phone:301-527-0701
Mailing Address - Fax:301-527-0703
Practice Address - Street 1:15944 LUANNE DR
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-1408
Practice Address - Country:US
Practice Address - Phone:301-527-0701
Practice Address - Fax:301-527-0703
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CBH HEALTH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-07
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health