Organization
180 DEGREE CHANGE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATISHA FLANIGAN (CEO)
(443) 435-0030
Entity
Organization
Contact information
Practice address
1420 JOH AVE STE D, BALTIMORE, MD 21227-1073
(443) 435-0030
Mailing address
1420 JOH AVE STE D, BALTIMORE, MD 21227-1073
(443) 435-0030
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/26/2021
Last updated
11/26/2021
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