Healthcare Provider Details

I. General information

NPI: 1649935537
Provider Name (Legal Business Name): DREAMLIFE,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2021
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 VIOLET AVE
BALTIMORE MD
21215-7712
US

IV. Provider business mailing address

3500 W ROGERS AVE
BALTIMORE MD
21215-4743
US

V. Phone/Fax

Practice location:
  • Phone: 410-770-2920
  • Fax:
Mailing address:
  • Phone: 240-367-6168
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: DANIEL THOMAS SACHARIAH
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 240-367-6168