Provider Demographics
NPI:1144336413
Name:ALTERNATIVE SOLUTIONS-LIFELINE
Entity type:Organization
Organization Name:ALTERNATIVE SOLUTIONS-LIFELINE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-498-1001
Mailing Address - Street 1:8706 CONTEE RD APT 13
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20708-1939
Mailing Address - Country:US
Mailing Address - Phone:301-498-1001
Mailing Address - Fax:
Practice Address - Street 1:8706 CONTEE RD APT 13
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-1939
Practice Address - Country:US
Practice Address - Phone:301-498-1001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization