OrganizationActive
Life Centers of America LLC
NPI 1295293124 · Mental Health Clinic/Center (Including Community Mental Health Center) · Parkville, MD
Provider details
- NPI number
- 1295293124
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Josiah Jackson, Vice President(443) 819-6350
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8509 Harford Rd
Parkville, MD 21234-4619
Phone: (443) 819-6350
Street-level locationGet directions
Mailing address
8509 Harford Rd
Parkville, MD 21234-4619
Registry dates
- Enumerated
- 2019-03-11
- Last updated
- 2019-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.