Organization
GLENWOOD LIFE COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AREDENIA LANGLEY (ADMINISTRATOR)
(410) 323-9811
Entity
Organization
Contact information
Practice address
516 GLENWOOD AVE, BALTIMORE, MD 21212-4230
(410) 323-9811
(410) 323-3862
Mailing address
516 GLENWOOD AVE, BALTIMORE, MD 21212-4230
(410) 323-9811
(410) 323-3862
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
905542
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7502516-00
—
MD
01
—
905542
MAYYLAND DEPARTMENT OF HEALTH & MENTAL HYGIENE
MD
Enumeration date
12/09/2015
Last updated
12/09/2015
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