| Holistic Change Llc | |
|
2710 W Cold Spring Ln Baltimore MD 21215-6702 | |
| (800) 395-9636 | |
| Not Available |
| Full Name | Holistic Change Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2710 W Cold Spring Ln, Baltimore, Maryland |
| Authorized Official Name and Position | James B Scott (OWNER) |
| Authorized Official Contact | 4434686169 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Change Llc 11 Gwynns Mill Ct Ste K Owings Mills MD 21117-3500 Ph: (443) 468-6168 | Holistic Change Llc 2710 W Cold Spring Ln Baltimore MD 21215-6702 Ph: (800) 395-9636 |
| NPI Number | 1013695576 |
|---|---|
| Provider Enumeration Date | 07/06/2023 |
| Last Update Date | 07/06/2023 |
| Certification Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013695576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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