| NPI | 1841801883 |
|---|---|
| Doing Business As | LIVE BENEVOLENT |
| Entity Type | Organization |
| Authorized Contact | STEPHON MACKEY CEO 443-683-9306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |