Organization
NEW LIFE ADDICTION COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY ANN ERVIN (DIRECTOR)
(410) 255-4475
Entity
Organization
Contact information
Practice address
2528 MOUNTAIN RD, SUITE 204, PASADENA, MD 21122-7203
(410) 255-4475
(410) 255-6277
Mailing address
2528 MOUNTAIN RD, SUITE 204, PASADENA, MD 21122-7203
(410) 255-4475
(410) 255-6277
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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