| NPI | 1326710443 |
|---|---|
| Doing Business As | IMPACT LIVES HEALTH SERVICE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL WESTBROOK C.E.O. 410-963-2602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2022-09-29 |