Provider Demographics
NPI:1720442684
Name:BTST SERVICES LLC
Entity type:Organization
Organization Name:BTST SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMON
Authorized Official - Suffix:
Authorized Official - Credentials:LGSW
Authorized Official - Phone:443-983-7585
Mailing Address - Street 1:9701 PHILADELPHIA CT
Mailing Address - Street 2:SUITE R
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-4400
Mailing Address - Country:US
Mailing Address - Phone:443-983-7585
Mailing Address - Fax:443-773-5624
Practice Address - Street 1:4303 FORBES BLVD
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-4333
Practice Address - Country:US
Practice Address - Phone:443-983-7585
Practice Address - Fax:443-773-5624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-07
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health