Organization
NATIVE AMERICAN LIFELINES, INC.
Active
Other names
LifeLines Foundation, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN ROTH (EXECUTIVE DIRECTOR)
(410) 837-2258
Entity
Organization
Contact information
Practice address
106 CLAY ST, BALTIMORE, MD 21201-3501
(410) 837-2258
(410) 837-2692
Mailing address
106 CLAY ST, BALTIMORE, MD 21201-3501
(410) 837-2258
(410) 837-2692
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9848
MD
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
904244
MD
Other
Enumeration date
04/14/2011
Last updated
08/16/2011
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