Healthcare Provider Details

I. General information

NPI: 1124954516
Provider Name (Legal Business Name): SANITY BEHAVIORAL HEALTHCARE SYSTEMS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 FORBES BLVD STE 301
LANHAM MD
20706-4359
US

IV. Provider business mailing address

4600 FORBES BLVD STE 301
LANHAM MD
20706-4359
US

V. Phone/Fax

Practice location:
  • Phone: 240-716-8022
  • Fax:
Mailing address:
  • Phone: 240-716-8022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. JUDITH ETA
Title or Position: CLINICAL DIRECTOR
Credential: PMHNP
Phone: 240-716-8022