Organization
EVA LIFE GIVER INC.
Active
Other names
DeVaughn Intervention Teach and Treat Options (DITTO)
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVA G DEVAUGHN MS, CAC-AD (CEO)
(443) 271-8046
Entity
Organization
Contact information
Practice address
1528 COUNTRY RIDGE LN STE A, ESSEX, MD 21221-3906
(443) 271-8046
(443) 873-8949
Mailing address
5003 ARDMORE WAY, BALTIMORE, MD 21206-5004
(443) 271-8046
(443) 873-8959
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
570127900
—
MD
Enumeration date
02/17/2016
Last updated
03/02/2021
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