NPI 1194498493
Life Connection Behavioral Health Services, LLC
Practice location
- Address
- 1515 Martin Blvd STE 206, Middle River, MD 21220-4103
- Phone
- (410) 365-1293
- Mailing address
- 705 Walnut Grove Rd, Baltimore, MD 21221-6061
Authorised official
- Name
- Torone Samuels
- Title
- Ceo
- Phone
- (410) 365-1293
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1194498493
- Entity type
- Organization
- NPI issued
- 1 Aug 2021
- Record last updated
- 1 Aug 2021
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.