Organization
IMPACT LIVES HEALTH SERVICES, LLC
Active
Other names
Impact lives health service
Organization subpart
No
Provider details
NPI number
Authorized official
ARIEL WESTBROOK (C.E.O.)
(443) 473-4049
Entity
Organization
Contact information
Practice address
1045 TAYLOR AVE STE 206, BALTIMORE, MD 21286-8316
(443) 963-2602
Mailing address
PO BOX 11462, BALTIMORE, MD 21239-0462
(410) 963-2602
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
01/14/2025
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