Organization
NEW LIFE RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VENNIETH MCCORMICK (EXECUTIVE DIRECTOR)
(240) 253-3663
Entity
Organization
Contact information
Practice address
102 SAINT PAUL ST, BALTIMORE, MD 21202-1704
(240) 253-3663
(443) 836-9157
Mailing address
302 PARK AVE STE 1, BALTIMORE, MD 21201-3618
(240) 253-3663
(443) 836-9157
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
09/11/2024
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