| NPI | 1861004004 |
|---|---|
| Doing Business As | LIVE BENEVOLENT |
| Entity Type | Organization |
| Authorized Contact | STEPHON MACKEY CEO 443-683-9306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 103TC0700X Psychologist, Clinical | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |