Organization
UPTOWN LIFESTYLES LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND TUBMAN (OWNER)
(410) 727-2400
Entity
Organization
Contact information
Practice address
2512 N CHARLES ST FL 2, BALTIMORE, MD 21218-4645
(410) 727-2400
Mailing address
2512 N CHARLES ST FL 2, BALTIMORE, MD 21218-4645
(410) 499-1903
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
10/04/2023
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