New Life Behavioral Health Program Llc - Addiction (Substance Use Disorder) Counselor in Baltimore, Maryland | ProviderWire

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Addiction (Substance Use Disorder) Counselor
Maryland
Baltimore
New Life Behavioral Health Program Llc

Legal Business Name

New Life Behavioral Health Program Llc

NPI Number

1477071637

NPI Type

Organization

Enumeration Date

09/07/2017

Specialties

(Taxonomies)

Name

Addiction (Substance Use Disorder) Counselor

Code

101YA0400X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing

Location

Address

3627 KEYSTONE AVE APT 4

1818 WALBROOK AVE

City

Los Angeles

Baltimore

State

CA

MD

Postal Code

90034-5616

21217-1311

Country

US

US

Telephone Number

(323) 309-1645

(443) 270-4357

Authorized Official

Name

Joann Staten

Title or Position

OWNER

Telephone Number

(443) 270-4357

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/07/2017

Provider Address

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