Living Changes LLC
Community/Behavioral Health in Pasadena, MD. Organization (NPI-2).
NPI number1700577012
StatusActive
Last updated in NPPESMay 17, 2023
Details
- NPI
- 1700577012
- Entity type
- Organization (NPI-2)
- Legal business name
- Living Changes LLC
- Organization subpart
- No
- Enumeration date
- May 17, 2023
- Certification date
- May 17, 2023
- Last updated
- May 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
686 208th StPasadena, MD 21122-1424
Phone 301-943-5207
Mailing address
7476 Baltimore Annapolis BlvdGlen Burnie, MD 21061-3542
Phone 301-943-5207
Authorized official
Melissa Simkin-Brocato
Compliance Officer
4435178724
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