Organization
NATIVE AMERICAN LIFELINES, INC.
Active
Parent organization
NATIVE AMERICAN LIFELINES
Other names
LifeLines Foundation, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATIVE AMERICAN LIFELINES
Authorized official
DUSTIN RICHARDSON LCPC (CLINICAL DIRECTOR)
(410) 934-0636
Entity
Organization
Contact information
Practice address
106 CLAY ST, BALTIMORE, MD 21201-3501
(410) 837-2258
(410) 837-2692
Mailing address
1 E FRANKLIN ST STE 200, BALTIMORE, MD 21202-2239
(410) 837-2258
(410) 837-2692
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
904244
MD
Other
Enumeration date
08/04/2011
Last updated
02/13/2020
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