OrganizationErta Behavioral Health, LlcNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address7400 Wilhelm Dr, Lanham, MD 20706-3725(240) 501-2710PECOS EnrollmentBased on the most recent information from CMS, provider Erta Behavioral Health, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1487284816Provider TypeOrganizationFull NameErta Behavioral Health, LlcSubpartNoEnumeration Date1/24/2020Last Updated6/17/2020Contact InformationPractice LocationPractice Address7400 Wilhelm Dr, Lanham, MD 20706-3725Phone(240) 501-2710FaxUnlisted FaxMailing LocationMailing Address7400 Wilhelm Dr, Lanham, MD 20706-3725Phone(240) 501-2710FaxUnlisted FaxAuthorized OfficialNameKogan, Jon (Delegated Official)Phone(443) 253-5533Provider TaxonomiesCodeDescriptionLicenseCode363LP0808XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer