| NPI | 1104105329 |
|---|---|
| Former Legal Business Name | LIFELINES FOUNDATION, INC. |
| Entity Type | Organization |
| Authorized Contact | DUSTIN RICHARDSON Clinical Director 410-934-0636 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: MD 904244) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2020-02-13 |