Organization
BUILDING LIVES ON COMMUNITY KINDNESS & STEWARDSHIP
Active
Other names
n/a
Organization subpart
No
Provider details
NPI number
Authorized official
QWAN NEEDUM (CEO)
(410) 262-4822
Entity
Organization
Contact information
Practice address
5230 KELWAY RD, BALTIMORE, MD 21239-3402
(410) 262-4822
Mailing address
5230 KELWAY RD, BALTIMORE, MD 21239-3402
(410) 262-4822
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
919255
—
MD
05
—
W21478037
—
MD
Enumeration date
03/12/2021
Last updated
03/12/2021
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