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NEW RESTORATION MINISTRIES NPI 1346805017


NPI Information

NPI: 1346805017
Provider Name: NEW RESTORATION MINISTRIES

Doing Business As: NEW REST COMMUNITY HEALTH

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2037 W NORTH AVE
BALTIMORE, MD
ZIP 21217
Phone: (443) 392-8191
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NEW RESTORATION MINISTRIES is a mental health (including community mental health center) clinic center in Baltimore, MD. NEW RESTORATION MINISTRIES NPI is 1346805017. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As New Rest Community Health.

The provider's business location address is:

2037 W NORTH AVE
BALTIMORE, MD
ZIP 21217-221
Phone: (443) 392-8191

The provider's authorized official is Lamon C White .
The authorized official title is Ceo and has the following contact phone number (443) 392-8191.

The enumeration date for this NPI number is 5/7/2019 and was last updated on 11/22/2019.


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
1101YM0800XCounselorMental HealthNo
2251B00000XCase ManagementNo
3251K00000XPublic Health or WelfareNo
4251V00000XVoluntary or CharitableNo
5261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes
6261QM0850XClinic/CenterAdult Mental HealthNo
7261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)No
8323P00000XPsychiatric Residential Treatment FacilityNo
9324500000XSubstance Abuse Rehabilitation FacilityNo
103245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenNo
11252Y00000XEarly Intervention Provider AgencyNo
12251S00000XCommunity/Behavioral HealthNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11MEDICAIDMARYLAND

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

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