NPIMap

Organization Active NPI

New Life Recovery Foundation Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
National Provider Identifier
1780373324
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NEW LIFE RECOVERY FOUNDATION CORP
Practice address
302 Park Ave
Baltimore, MD 21201-3618
Phone
(410) 304-6686
Fax
(443) 836-9157
NPI assigned
May 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vennieth McCormick
Title
Ceo
Phone
(410) 908-3106

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

302 Park Ave
Baltimore, MD 21201-3618

Mailing address

302 Park Ave
Baltimore, MD 21201-3618
Phone (410) 304-6686

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1780373324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 PARK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212013618",
            "telephone_number": "410-304-6686",
            "fax_number": "443-836-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 PARK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212013618",
            "telephone_number": "410-304-6686",
            "fax_number": "443-836-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE RECOVERY FOUNDATION CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "VENNIETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-908-3106"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.