Organization
MY LIFE BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WOMSON MYRON OWENS (CEO/PRESIDENT)
(410) 262-5778
Entity
Organization
Contact information
Practice address
23-25 EAST NORTH AVENUE, BALTIMORE, MD 21201
(410) 262-5778
Mailing address
23-25 EAST NORTH AVENUE, BALTIMORE, MD 21201
(410) 262-5778
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/12/2015
Last updated
09/23/2016
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