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1740611623
CHANGING LIVES AT HOME, INC. MENTAL HEALTH
BALTIMORE, MD
NPI
1740611623
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Entity Type
Organization
Authorized Contact
LATRILL WAIZETTE BRYANT-BASS
Director
443-463-9523
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2013-12-03
Last Update Date
2016-06-01
Business Address
CHANGING LIVES AT HOME, INC. MENTAL HEALTH
4805 GARRISON BLVD
BALTIMORE, MD 21215-5695
Phone number: 443-463-9523
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Mailing Address
CHANGING LIVES AT HOME, INC. MENTAL HEALTH
3606 BELLE AVE
BALTIMORE, MD 21215-6102
Phone number: 443-463-9523
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