NPI | 1699150144 |
---|---|
Other Name | CHANGING LIVES AT HOME INC |
Entity Type | Organization |
Authorized Contact | LATRILL WAIZETTE BRYANT BASS Executive Director 443-463-9523 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2015-07-27 |
Last Update Date | 2015-07-27 |