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 |