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NEW LIFE RECOVERY CENTER LLC NPI 1093336422


NPI Information

NPI: 1093336422
Provider Name: NEW LIFE RECOVERY CENTER LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
302 PARK AVE STE 1
BALTIMORE, MD
ZIP 21201
Phone: (410) 878-0032
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NEW LIFE RECOVERY CENTER LLC is a rehabilitation and substance use disorder clinic center in Baltimore, MD. NEW LIFE RECOVERY CENTER LLC NPI is 1093336422. The provider is registered as an organization entity type.

The provider's business location address is:

302 PARK AVE STE 1
BALTIMORE, MD
ZIP 21201-618
Phone: (410) 878-0032

The provider's authorized official is Vennieth L. Mccormick .
The authorized official title is Director and has the following contact phone number (410) 908-3106.

The enumeration date for this NPI number is 4/27/2020 and was last updated on 4/27/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.