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Organization
DNA LIFE OF RECOVERY CORPORATION
Active
Organization
DNA LIFE OF RECOVERY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUSANDRA NICOLE AUSTIN (EXECUTIVE DIRECTOR)
(443) 763-1622
Entity
Organization
Contact information
Practice address
9430 BALLARD GREEN DR, OWINGS MILLS, MD 21117-5913
(443) 763-1622
Mailing address
PO BOX 224, REISTERSTOWN, MD 21136-0224
(443) 763-1622
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
08/18/2026
Last updated
08/18/2026
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