Organization · Type 2 NPI

Native American Lifelines, Inc.

Community/Behavioral Health Agency · Baltimore, MD

NPI number 1104105329 Active

Practice location

106 Clay St
Baltimore, MD 21201-3501

Call (410) 837-2258 Map

Fax (410) 837-2692

Mailing address

1 E Franklin St Ste 200
Baltimore, MD 21202-2239

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	904244 (MD)

Community/Behavioral Health Agency: 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 suppo…

3 other providers at this address

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NPI record

NPI: 1104105329
Entity type: Organization (Type 2)
Issued: Aug 4, 2011
Last updated: Feb 13, 2020
Status: Active
Subpart: Yes of Native American Lifelines

Other names

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Lifelines Foundation, Inc. · former legal business name
Lifelines Foundation, Inc. · former legal business name

Authorized official

Dustin Richardson, LCPC
Clinical Director
(410) 934-0636

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104105329

Native American Lifelines, Inc.'s National Provider Identifier is 1104105329, issued on Aug 4, 2011. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Baltimore, MD. The record was last updated on Feb 13, 2020.