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Organization
LIVES SAVERS BEHAVIORAL HEALTH LLC
Active
Organization
LIVES SAVERS BEHAVIORAL HEALTH LLC
Active
Other names
LIVES SAVERS BEHAVIORAL HEALTH
Organization subpart
Yes
Provider details
NPI number
Authorized official
OLUWAKEMI OLUBUNMI OSIDELE (PRESIDENT)
(240) 575-9940
Entity
Organization
Contact information
Practice address
311 S RALEIGH ST, MARTINSBURG, WV 25401-2638
(240) 415-0064
Mailing address
211 S JEFFERSON ST STE 201, FREDERICK, MD 21701-7012
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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