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Organization

CAPABLELIFE SERVICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERNESTINA OHENE-AGYAKWAH (PROVIDER)
(443) 413-9942
Entity
Organization

Contact information

Practice address
6340 SECURITY BLVD STE 100, BALTIMORE, MD 21207-5284
(443) 413-9942
Mailing address
6340 SECURITY BLVD STE 100, BALTIMORE, MD 21207-5284
(443) 413-9942

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
07/22/2024
Last updated
01/20/2026
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