Organization
MAN ALIVE TRANSITION HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRIN NAVON ONEAL (OWNER/CEO)
(410) 297-1560
Entity
Organization
Contact information
Practice address
2649 CHESTERFIELD AVE, BALTIMORE, MD 21213-1106
(410) 297-1560
Mailing address
2649 CHESTERFIELD AVENUE, BALTIMORE, MD 21213
(410) 297-1560
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/26/2017
Last updated
07/21/2022
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