| Native American Lifelines, Inc. | |
|
106 Clay St Baltimore MD 21201-3501 | |
| (410) 837-2258 | |
| (410) 837-2692 |
| Full Name | Native American Lifelines, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 106 Clay St, Baltimore, Maryland |
| Authorized Official Name and Position | Dustin Richardson (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4109340636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Native American Lifelines, Inc. 1 E Franklin St Ste 200 Baltimore MD 21202-2239 Ph: (410) 837-2258 | Native American Lifelines, Inc. 106 Clay St Baltimore MD 21201-3501 Ph: (410) 837-2258 |
| NPI Number | 1104105329 |
|---|---|
| Provider Enumeration Date | 08/04/2011 |
| Last Update Date | 02/13/2020 |
| Certification Date | 02/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104105329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 904244 (Maryland) | Primary |
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