Organization
LIFE OF RESSURECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN DICKEY (OWNER)
(443) 690-8029
Entity
Organization
Contact information
Practice address
4415 FALLS RD, BALTIMORE, MD 21211-1330
(443) 381-5464
Mailing address
4415 FALLS RD, BALTIMORE, MD 21211-1330
(443) 381-5464
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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