NPI 1053156166

Lgtula,llc

Organisation Mental Illness Community Based Residential Treatment Facility Baltimore, MD

Practice location

Address: 1515 N Bentalou St, Baltimore, MD 21216-4120
Phone: (410) 702-0510

Authorised official

Name: Rebecca Yvette Jackson
Title: Surrogate
Phone: (443) 418-4254

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Maryland →

Registry record

NPI: 1053156166
Entity type: Organization
NPI issued: 28 Jun 2024
Record last updated: 28 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.