| NPI | 1457012833 |
|---|---|
| Doing Business As | IMPACT LIVES HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | MICHAEL WESTBROOK Owner 410-963-2602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-09-29 |