Organization
GLENWOOD LIFE-COUNSELING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AREDENIA LANGLEY (BILLING SUPERVISOR)
(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
261QM2800X
Methadone Clinic
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
750251600
—
MD
Enumeration date
12/19/2005
Last updated
12/06/2019
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