| New Life Addiction Counseling Services, Inc. | |
|
2528 Mountain Rd #204 Pasadena MD 21122-7203 | |
| (410) 255-4475 | |
| (410) 255-6277 |
| Full Name | New Life Addiction Counseling Services, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2528 Mountain Rd, Pasadena, Maryland |
| Authorized Official Name and Position | Beverly Ann Ervin (CEO/DIRECTOR) |
| Authorized Official Contact | 4102554475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Addiction Counseling Services, Inc. 2528 Mountain Rd #204 Pasadena MD 21122-7203 Ph: (410) 255-4475 | New Life Addiction Counseling Services, Inc. 2528 Mountain Rd #204 Pasadena MD 21122-7203 Ph: (410) 255-4475 |
| NPI Number | 1457629255 |
|---|---|
| Provider Enumeration Date | 12/07/2011 |
| Last Update Date | 12/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457629255 | NPI | - | NPPES |
| 200731200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
New Life Addiction Counseling Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2528 Mountain Rd, Suite 204, Pasadena, MD 21122 Phone: 410-255-4475 Fax: 410-255-6277 | |
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