Organization · Type 2 NPI
Life Renewal Services, Inc
Substance Use Disorder Rehabilitation Clinic/Center · Baltimore, MD
NPI number
1174074066
Active
Practice location
3455 Wilkens Ave, Suite 303
Baltimore, MD 21229-5213
Mailing address
PO Box 1254
Westminster, MD 21158-5254
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
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Other substance use disorder rehabilitation clinic/center providers in Baltimore
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- Recovery180 LLCSubstance Use Disorder Rehabilitation Clinic/Center Baltimore, MD NPI 1033904958
About NPI 1174074066
Life Renewal Services, Inc's National Provider Identifier is 1174074066, issued on Oct 17, 2016. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Baltimore, MD. The record was last updated on Oct 17, 2016.