Organization · Type 2 NPI

Changing Lives at Home Sud,inc

Community/Behavioral Health Agency · Baltimore, MD

NPI number 1124705546 Active

Practice location

4805 Garrison Blvd, 1st Floor And Suite 200
Baltimore, MD 21215-5695

Fax (410) 510-1982

Mailing address

202 Glenn Ellen Cir
Pikesville, MD 21208-1028

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

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…

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About NPI 1124705546

Changing Lives at Home Sud,inc's National Provider Identifier is 1124705546, issued on Jun 28, 2023. 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 Jun 30, 2023.