Organization
GLENWOOD LIFE-COUNSELING CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHANDA D POWELL MD (MEDICAL DIRECTOR)
(410) 323-9811
Entity
Organization
Contact information
Practice address
516 GLENWOOD AVE, BALTIMORE, MD 21212-4230
(410) 323-9811
(410) 323-3862
Mailing address
516 GLENWOOD AVE, BALTIMORE, MD 21212-4230
(410) 323-9811
(410) 323-3862
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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