Organization
HOUSE OF CHANGE,INC.
Active
Parent organization
HOUSE OF CHANGE,INC.
Other names
House of Change Behavioral Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOUSE OF CHANGE,INC.
Authorized official
VANESSA LYLE (BILLING SPECIALIST / CREDENTIAL SPC)
(410) 500-0712
Entity
Organization
Contact information
Practice address
1607 EDMONDSON AVE, BALTIMORE, MD 21223-1215
(410) 366-3500
Mailing address
5209 YORK RD STE B6, BALTIMORE, MD 21212-4247
(410) 366-3500
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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