Life Centers Of America LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Parkville, MD. Organization (NPI-2).
NPI number1295293124
StatusActive
Last updated in NPPESMar 11, 2019
Details
- NPI
- 1295293124
- Entity type
- Organization (NPI-2)
- Legal business name
- Life Centers Of America LLC
- Organization subpart
- No
- Enumeration date
- Mar 11, 2019
- Last updated
- Mar 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
8509 Harford RdParkville, MD 21234-4619
Phone 443-819-6350
Mailing address
8509 Harford RdParkville, MD 21234-4619
Phone 443-819-6350
Authorized official
Josiah Malik Jackson
Vice President
4438196350
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All 22 Mental Health Clinic/Center (Including Community Mental Health Center) providers in Parkville · All 638 providers in Parkville
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