Organization · Type 2 NPI

Black Rock Integrative Medicine

Mental Health Clinic/Center (Including Community Mental Health Center) · Frederick, MD

NPI number 1538095591 Active

Practice location

5705 Industry Ln Ste 125
Frederick, MD 21704-5163

Fax (866) 441-1174

Mailing address

120 N Potomac St
Hagerstown, MD 21740-4810

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

2 other providers at this address

Other mental health clinic/center (including community mental health center) providers in Frederick

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About NPI 1538095591

Black Rock Integrative Medicine's National Provider Identifier is 1538095591, issued on Jun 18, 2026. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Frederick, MD. The record was last updated on Jun 18, 2026.