Organization
TAKES A VILLAGE FOR CHANGE LLC
Active
Other names
Takes A Village For Change LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA SHEARS COATES (OWNER)
(410) 689-5057
Entity
Organization
Contact information
Practice address
413 EASTERN BLVD, ESSEX, MD 21221-6715
(410) 689-5057
Mailing address
114 FERNDALE RD, GLEN BURNIE, MD 21061-2627
(410) 689-5057
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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