Organization
LIVING CHANGES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA SIMKIN-BROCATO (COMPLIANCE OFFICER)
(443) 517-8724
Entity
Organization
Contact information
Practice address
686 208TH ST, PASADENA, MD 21122-1424
(301) 943-5207
Mailing address
7476 BALTIMORE ANNAPOLIS BLVD, GLEN BURNIE, MD 21061-3542
(301) 943-5207
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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