New Life Recovery Center LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)

Address: 302 Park Ave Ste 1, Baltimore, MD 21201-3618
Phone: 4108780032

New Life Recovery Center LLC (NPI# 1093336422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1093336422
Entity Type Organization
Organization Name NEW LIFE RECOVERY CENTER LLC
Practice Address 302 Park Ave Ste 1
Baltimore
MD 21201-3618
Practice Telephone 4108780032
Mailing Address 302 Park Ave
Baltimore
MD 21201-3618
Mailing Telephone 4108780032
Authorized Official Name Mr. Vennieth L. Mccormick (DIRECTOR)
Authorized Official Telephone 4109083106
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-04-27
Last Update Date 2020-04-27

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QR0405X Clinic/Center · Rehabilitation, Substance Use Disorder Ambulatory Health Care Facilities

Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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1801403324 Maryland Community Health Initiatives, Inc. Clinic/Center 328 E 26th St, Baltimore, MD 21218-4702 2020-09-29
1275148975 Hel Recovery Center Clinic/Center 1900 N Howard St Fl 2, Baltimore, MD 21218-5909 2020-09-10
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Office Location

Street Address 302 PARK AVE STE 1
City BALTIMORE
State MD
Zip Code 21201-3618

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518585470 Meshref Ayed Alshehri Student in an Organized Health Care Education/Training Program 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 2020-07-08
1306462411 Michael Julian Wong Student in an Organized Health Care Education/Training Program University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 2020-06-24
1740817733 Martha Kaitlyn Coghlan Student in an Organized Health Care Education/Training Program Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 2020-03-27
1629606637 Taylor Renee Kai Student in an Organized Health Care Education/Training Program University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 2020-03-27
1295362697 Brittany A Oster Student in an Organized Health Care Education/Training Program 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 2020-03-25
1346877735 Kayvon Michael Mobarakeh Student in an Organized Health Care Education/Training Program University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 2020-03-25
1598392284 Zachary Allan Hagen Student in an Organized Health Care Education/Training Program 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 2020-03-24
1700430055 Jaime Semchuk Student in an Organized Health Care Education/Training Program 737 West Lombard, Baltimore, MD 21201 2019-07-25
1952861619 Zachary Daniel Sanford Student in an Organized Health Care Education/Training Program 22 S Greene Street S8b12, Baltimore, MD 21201 2019-03-20
1114487840 Spencer Sykes Lovegrove Student in an Organized Health Care Education/Training Program 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 2019-03-20
Find all providers in zip 21201

Competitor

Search similar providers

City BALTIMORE
Zip Code 21201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.