Organization
LIFE CONNECTION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRI FIELDS (OFFICE MANAGER)
(443) 559-0450
Entity
Organization
Contact information
Practice address
705 WALNUT GROVE RD, BALTIMORE, MD 21221-6061
(443) 559-0450
Mailing address
705 WALNUT GROVE RD, BALTIMORE, MD 21221-6061
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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