Organization
TRANSFORMING LIVES WITH CARE, INC
Active
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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