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1730840042
IMPACT LIVES HEALTH SERVICES, LLC
BALTIMORE, MD
NPI
1730840042
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Entity Type
Organization
Authorized Contact
MICHAEL WESTBROOK
Owner
410-963-2602
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date
2022-01-08
Last Update Date
2022-09-29
Business Address
IMPACT LIVES HEALTH SERVICES, LLC
1045 TAYLOR AVE STE 206
BALTIMORE, MD 21286-8316
Phone number: 410-650-2771
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Mailing Address
IMPACT LIVES HEALTH SERVICES, LLC
PO BOX 11462
BALTIMORE, MD 21239-0462
Phone number: 410-963-2602
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