New Life Recovery Center Llc | |
102 Saint Paul St Baltimore MD 21202-1704 | |
(240) 253-3663 | |
Not Available |
Full Name | New Life Recovery Center Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 102 Saint Paul St, Baltimore, Maryland |
Authorized Official Name and Position | Venneith Mccormick (DIRECTOR) |
Authorized Official Contact | 2402533663 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
New Life Recovery Center Llc 302 Park Ave Ste 1 Baltimore MD 21201-3618 Ph: (240) 253-3663 | New Life Recovery Center Llc 102 Saint Paul St Baltimore MD 21202-1704 Ph: (240) 253-3663 |
NPI Number | 1083339782 |
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Provider Enumeration Date | 10/05/2022 |
Last Update Date | 08/19/2024 |
Certification Date | 08/19/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083339782 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |
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