Organization
HOLISTIC CHANGE LLC
Active
Other names
Holistic Change
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES BERNARD SCOTT III (OWNER)
(443) 468-6169
Entity
Organization
Contact information
Practice address
2710 W COLD SPRING LN, BALTIMORE, MD 21215-6702
(800) 395-9636
Mailing address
11 GWYNNS MILL CT STE K, OWINGS MILLS, MD 21117-3500
(443) 468-6169
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
04/14/2023
Last updated
05/05/2023
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