NEW LIFE FAMILY SERVICES LLC NPI 1972124568

NPI Information

NPI: 1972124568
Provider Name: NEW LIFE FAMILY SERVICES LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
3010 RIDGEWOOD AVE STE 210
BALTIMORE, MD
ZIP 21215
Phone: (443) 607-8177
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NEW LIFE FAMILY SERVICES LLC is a rehabilitation and substance use disorder clinic center in Baltimore, MD. NEW LIFE FAMILY SERVICES LLC NPI is 1972124568. The provider is registered as an organization entity type.

The provider's business location address is:

3010 RIDGEWOOD AVE STE 210
BALTIMORE, MD
ZIP 21215-211
Phone: (443) 607-8177

The provider's authorized official is Kenya Conway .
The authorized official title is Ceo and has the following contact phone number (443) 607-8177.

The enumeration date for this NPI number is 5/5/2020 and was last updated on 5/5/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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

NPI Synchronization or Removal

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