OrganizationActive
180 Degree Change Behavioral Health LLC
NPI 1336805613 · Community/Behavioral Health Agency · Baltimore, MD
Provider details
- NPI number
- 1336805613
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Authorized official
- Latisha Flanigan, Ceo
Mailing address
1420 Joh Ave Ste D
Baltimore, MD 21227-1073
Registry dates
- Enumerated
- 2021-11-11
- Last updated
- 2021-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.