| 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 | Substance Abuse Rehabilitation Facility |
| Location | 102 Saint Paul St, Baltimore, Maryland |
| Authorized Official Name and Position | Vennieth 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 | 1205587359 |
|---|---|
| Provider Enumeration Date | 01/11/2022 |
| Last Update Date | 08/14/2024 |
| Certification Date | 08/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205587359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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