Organization
CHANGING LIVES AT HOME MENTAL HEALTH CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATRILL BRYANT-BASS MSW (CEO/DIRCTOR)
(443) 463-9523
Entity
Organization
Contact information
Practice address
4805 GARRISON BLVD, 1ST FLOOR AND SUITE 200, BALTIMORE, MD 21215-5695
(443) 465-9523
(410) 510-1982
Mailing address
202 GLENN ELLEN CIR, PIKESVILLE, MD 21208-1028
(443) 463-9523
(410) 510-1982
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/18/2016
Last updated
08/07/2024
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