Organization
INSIGHTFUL LIFE THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY I NWOGWUGWU (CEO)
(443) 873-7197
Entity
Organization
Contact information
Practice address
575 S CHARLES ST STE 140, BALTIMORE, MD 21201-2477
(443) 873-7197
Mailing address
575 S CHARLES ST STE 140, BALTIMORE, MD 21201-2477
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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