NATIVE AMERICAN LIFELINES INC. NPI 1679863344

NPI Information

  • NPI: 1679863344
  • Provider Name: NATIVE AMERICAN LIFELINES, INC.
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Former Legal Business Name: LIFELINES FOUNDATION, INC.
  • Address: 106 CLAY ST
    BALTIMORE, MD
    ZIP 21201
  • Phone: (410) 837-2258

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NPI Details

NATIVE AMERICAN LIFELINES, INC. is a dental clinic center in Baltimore, MD. NATIVE AMERICAN LIFELINES, INC. NPI is 1679863344. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Lifelines Foundation, Inc..

The provider's business location address is:

106 CLAY ST
BALTIMORE, MD
ZIP 21201-501
Phone: (410) 837-2258
Fax: (410) 837-2692

The provider's authorized official is Susan Roth .
The authorized official title is Executive Director and has the following contact phone number (410) 837-2258.

The enumeration date for this NPI number is 4/14/2011 and was last updated on 8/16/2011.

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
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder904244MARYLANDNo
2261QD0000XClinic/CenterDental9848MARYLANDYes

What is NPI?

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This page was last updated on: 11/21/2025

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