Organization
EVA LIFE GIVER INC.
Active
Other names
DeVaughn Intervention Teach and Treat Options
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVA DEVAUGHN MS, CAC-AD (EXECUTIVE DIRECTOR)
(443) 271-8046
Entity
Organization
Contact information
Practice address
4804 YORK RD STE 2, BALTIMORE, MD 21212-4401
(443) 873-8958
(443) 873-8959
Mailing address
5003 ARDMORE WAY, BALTIMORE, MD 21206-5004
(443) 271-8046
(443) 873-8959
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699076562
—
MD
Enumeration date
10/22/2014
Last updated
03/06/2019
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