Organization
TRANSFORMING LIVES WITH CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OMORUYI EPHRAIM K. OKUNDAYE MSW, LCSW, LCADC (CEO / CLINICAL DIRECTOR)
(443) 682-5807
Entity
Organization
Contact information
Practice address
2821 PINEWOOD AVE, BALTIMORE, MD 21214-1228
(443) 682-5807
Mailing address
2821 PINEWOOD AVE, BALTIMORE, MD 21214-1228
(443) 682-5807
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
17618
MD
251S00000X
Community/Behavioral Health Agency
17618
MD
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
17618
MD
Other
Enumeration date
01/19/2018
Last updated
01/20/2018
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