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Organization
NATIVE AMERICAN LIFELINES, INC.
Active
Organization
NATIVE AMERICAN LIFELINES, INC.
Active
Other names
LifeLines Foundation, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN ROTH (EXECUTIVE DIRECTOR)
(410) 837-2258
Entity
Organization
Contact information
Practice address
106 CLAY ST, BALTIMORE, MD 21201-3501
(410) 837-2258
(410) 837-2692
Mailing address
106 CLAY ST, BALTIMORE, MD 21201-3501
(410) 837-2258
(410) 837-2692
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9848
MD
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
904244
MD
Other
Enumeration date
04/14/2011
Last updated
08/16/2011
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