| Changing Lives Together, Llc | |
|
5438 York Rd Ste B1 Baltimore MD 21212-3842 | |
| (410) 277-5177 | |
| Not Available |
| Full Name | Changing Lives Together, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5438 York Rd Ste B1, Baltimore, Maryland |
| Authorized Official Name and Position | Robert Lewis (OWNER/CEO) |
| Authorized Official Contact | 4102775177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Lives Together, Llc 5438 York Rd Ste B1 Baltimore MD 21212-3842 Ph: (410) 277-5177 | Changing Lives Together, Llc 5438 York Rd Ste B1 Baltimore MD 21212-3842 Ph: (410) 277-5177 |
| NPI Number | 1497449417 |
|---|---|
| Provider Enumeration Date | 06/05/2023 |
| Last Update Date | 06/05/2023 |
| Certification Date | 06/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497449417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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