| New Life Behavioral Health Program Llc | |
|
1818 Walbrook Ave Baltimore MD 21217-1311 | |
| (443) 270-4357 | |
| Not Available |
| Full Name | New Life Behavioral Health Program Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1818 Walbrook Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Joann L Staten (OWNER) |
| Authorized Official Contact | 4432704357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Behavioral Health Program Llc 3627 Keystone Ave Apt 4 Los Angeles CA 90034-5616 Ph: (323) 309-1645 | New Life Behavioral Health Program Llc 1818 Walbrook Ave Baltimore MD 21217-1311 Ph: (443) 270-4357 |
| NPI Number | 1477071637 |
|---|---|
| Provider Enumeration Date | 09/07/2017 |
| Last Update Date | 09/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477071637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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