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Organization

IMPACTFUL CHANGES INC

Active
Parent organization
IMPACTFUL CHANGES INC
Other names
Impactful Changes Inc.
Organization subpart
Yes

Provider details

NPI number
Legal business name
IMPACTFUL CHANGES INC
Authorized official
MS. ARIKA DAVENPORT (CEO)
(144) 347-3341
Entity
Organization

Contact information

Practice address
2235 W SARATOGA ST, BALTIMORE, MD 21223-1509
(443) 473-3416
Mailing address
619 TUNBRIDGE RD, BALTIMORE, MD 21212-3925
(443) 473-3416

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
10/17/2023
Last updated
10/17/2023
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