Organization
TRI NUE CHANGING LIVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEVENA OFFER LCADC (CEO)
(443) 301-2389
Entity
Organization
Contact information
Practice address
6210 REISTERSTOWN RD, BALTIMORE, MD 21215-3425
(443) 301-2389
Mailing address
7747 SPENCER RD, GLEN BURNIE, MD 21060-8241
(443) 301-2389
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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