Changing Lives Adult & Youth Services
Community/Behavioral Health in Clinton, MD. Organization (NPI-2).
NPI number1609320340
StatusActive
Last updated in NPPESSep 10, 2019
Details
- NPI
- 1609320340
- Entity type
- Organization (NPI-2)
- Legal business name
- Changing Lives Adult & Youth Services
- Organization subpart
- No
- Enumeration date
- Aug 11, 2016
- Last updated
- Sep 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 1771 | MD | Yes |
| 251B00000X | Case Management | 1771 | MD |
Practice location
9015 Woodyard Rd Ste 109Clinton, MD 20735-4226
Phone 240-244-2924 · Fax 240-244-5225
Mailing address
9015 Woodyard Rd Ste 109Clinton, MD 20735-4226
Phone 240-244-2924 · Fax 240-244-5225
Authorized official
Sydney Baskins
Ceo
3015410963
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All 25 Community/Behavioral Health Agency providers in Clinton · All 1,325 providers in Clinton
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