Organization
EVA LIFE GIVER INC.
Active
Other names
DeVaughn Intervention Teach and Treat Options
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVA DEVAUGHN-BUCHANAN MS, CAC-AD, AS (CEO)
(443) 271-8046
Entity
Organization
Contact information
Practice address
5003 ARDMORE WAY, BALTIMORE, MD 21206-5004
(443) 271-8046
(443) 873-8959
Mailing address
4804 YORK RD STE 2, BALTIMORE, MD 21212-4401
(443) 873-8958
(443) 873-8959
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003210873
—
MD
05
—
1093248577
—
MD
05
—
14477619507
—
MD
05
—
1699076562
—
MD
05
—
1801345277
—
MD
05
—
1831622315
—
MD
Enumeration date
10/24/2022
Last updated
10/24/2022
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