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1477071637
NEW LIFE BEHAVIORAL HEALTH PROGRAM LLC
BALTIMORE, MD
NPI
1477071637
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Entity Type
Organization
Authorized Contact
JOANN L STATEN
Owner
443-270-4357
Organization Subpart ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-09-07
Last Update Date
2017-09-07
Business Address
NEW LIFE BEHAVIORAL HEALTH PROGRAM LLC
1818 WALBROOK AVE
BALTIMORE, MD 21217-1311
Phone number: 443-270-4357
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Mailing Address
NEW LIFE BEHAVIORAL HEALTH PROGRAM LLC
3627 KEYSTONE AVE APT 4
LOS ANGELES, CA 90034-5616
Phone number: 323-309-1645
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