Organization
CHANGING LIVES TOGETHER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LEWIS (OWNER/CEO)
(410) 277-5177
Entity
Organization
Contact information
Practice address
5438 YORK RD STE B1, BALTIMORE, MD 21212-3842
(410) 277-5177
Mailing address
5438 YORK RD STE B1, BALTIMORE, MD 21212-3842
(410) 277-5177
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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