| NPI | 1477186278 |
|---|---|
| Other Name | LIFE SUPPORT CLINICAL COUNSELING SERVICE LLC/PRP |
| Doing Business As | LIFE SUPPORT CLINICAL COUNSELING SERVICE LLC/PRP |
| Entity Type | Organization |
| Authorized Contact | ALICE RITA HUNLEY Owner 410-980-3163 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |