Organization
NEW LIFE RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VENNIETH L. MCCORMICK (DIRECTOR)
(410) 908-3106
Entity
Organization
Contact information
Practice address
102 SAINT PAUL ST, BALTIMORE, MD 21202-1704
(410) 878-0032
Mailing address
302 PARK AVE, BALTIMORE, MD 21201-3618
(410) 878-0032
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/27/2020
Last updated
08/07/2024
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