Organization
HOLISTIC CHANGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES B SCOTT III (OWNER/CEO)
(443) 468-6169
Entity
Organization
Contact information
Practice address
2449 DRUID HILL AVE, BALTIMORE, MD 21217-1827
(443) 468-6169
(667) 408-1731
Mailing address
11 GWYNNS MILL CT STE K, OWINGS MILLS, MD 21117-3500
(443) 468-6168
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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