| NPI | 1023629375 |
|---|---|
| Doing Business As | LIVE BENEVOLENT |
| Entity Type | Organization |
| Authorized Contact | STEPHON MACKEY CEO 443-683-9306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |