Organization
CHANCE AT LIFE SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANEL QUARLES OWNER (EXECUTIVE DIRECTOR)
(443) 226-9790
Entity
Organization
Contact information
Practice address
110 DUNSFORD CT, WALKERSVILLE, MD 21793-8252
(443) 226-9790
Mailing address
915 HOLDEN RD, FREDERICK, MD 21701-3426
(443) 226-9790
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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