Changing Lives Adult & Youth Services

LBN: Changing Lives Adult & Youth Services
Changing Lives Adult & Youth Services is an health care organization with primary practice located at 9015 Woodyard Rd Ste 109 , Clinton MD 20735-4226. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Changing Lives Adult & Youth Services can be contacted via phone (240) 244-2924, or through Baskins, Sydney via phone (301) 541-0963.

Contact Information

Primary practice address
9015 Woodyard Rd Ste 109 Clinton MD 20735-4226
Phone: (240) 244-2924
Fax: (240) 244-5225
Website:
Map and Directions
Authorized official contact:
Name: Baskins, Sydney
Phone: (301) 541-0963

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 1771 Maryland
Agencies / Community/Behavioral Health 251S00000X 1771 Maryland

Profile Details

NPI number 1609320340
LBN Legal business name Changing Lives Adult & Youth Services
DBA Doing business as
Authorized official Baskins, Sydney
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2016
Last updated Sep 10th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609320340 NPPES
Maryland MEDICAID 1902241250
Maryland MEDICAID 1609320340

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