Organization
EVA LIFE GIVER INC.
Active
Other names
DeVaughn Intervention Teach and Treat Options
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVA G. DEVAUGHN MS, CA-AD (CEO)
(443) 271-8046
Entity
Organization
Contact information
Practice address
4804 YORK ROAD, SUITE 2, BALTIMORE, MD 21212
(443) 873-8958
(443) 873-8959
Mailing address
5003 ARDMORE WAY, BALTIMORE, MD 21206
(443) 271-8046
(443) 873-8959
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
903993
MD
251S00000X
Community/Behavioral Health Agency
Primary
906059
MD
Other
Enumeration date
11/09/2010
Last updated
07/21/2022
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