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CHANGING LIVES AT HOME INC MENTAL HEALTH NPI 1699150144


NPI Information

NPI: 1699150144
Provider Name: CHANGING LIVES AT HOME INC MENTAL HEALTH

Other Name: CHANGING LIVES AT HOME INC

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
4805 GARRISON BLVD
BALTIMORE, MD
ZIP 21215
Phone: (443) 869-2600
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CHANGING LIVES AT HOME INC MENTAL HEALTH is a community behavioral health in Baltimore, MD. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. CHANGING LIVES AT HOME INC MENTAL HEALTH NPI is 1699150144. The provider is registered as an organization entity type.
The provider Other Name Is Changing Lives At Home Inc.

The provider's business location address is:

4805 GARRISON BLVD
BALTIMORE, MD
ZIP 21215-695
Phone: (443) 869-2600

The provider's authorized official is Latrill Waizette Bryant Bass .
The authorized official title is Executive Director and has the following contact phone number (443) 463-9523.

The enumeration date for this NPI number is 7/27/2015 and was last updated on 7/27/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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