Life Centers Of America Llc | |
8509 Harford Rd Parkville MD 21234-4619 | |
(443) 819-6350 | |
Not Available |
Full Name | Life Centers Of America Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 8509 Harford Rd, Parkville, Maryland |
Authorized Official Name and Position | Josiah Malik Jackson (VICE PRESIDENT) |
Authorized Official Contact | 4438196350 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Life Centers Of America Llc 8509 Harford Rd Parkville MD 21234-4619 Ph: (443) 819-6350 | Life Centers Of America Llc 8509 Harford Rd Parkville MD 21234-4619 Ph: (443) 819-6350 |
NPI Number | 1295293124 |
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Provider Enumeration Date | 03/11/2019 |
Last Update Date | 03/11/2019 |
Identifier | Type | State | Issuer |
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1295293124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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