Provider Demographics
NPI:1225736606
Name:NEVER TAKE LIFE FOR GRANTED BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:NEVER TAKE LIFE FOR GRANTED BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:BUNCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-580-9346
Mailing Address - Street 1:4707 HARFORD RD STE C
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21214-3262
Mailing Address - Country:US
Mailing Address - Phone:410-301-2959
Mailing Address - Fax:
Practice Address - Street 1:4707 HARFORD RD STE C
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21214-3262
Practice Address - Country:US
Practice Address - Phone:410-301-2959
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health