| New Place Of Recovery Treatment Center Llc | |
|
218 E Lexington St Ste 301&505 Baltimore MD 21202-3532 | |
| (443) 379-6743 | |
| Not Available |
| Full Name | New Place Of Recovery Treatment Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 218 E Lexington St Ste 301&505, Baltimore, Maryland |
| Authorized Official Name and Position | Nnenna Dorathy Ezeh (CEO) |
| Authorized Official Contact | 4433796743 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Place Of Recovery Treatment Center Llc 218 E Lexington St Ste 301 & 505 Baltimore MD 21202-3532 Ph: (443) 379-6743 | New Place Of Recovery Treatment Center Llc 218 E Lexington St Ste 301&505 Baltimore MD 21202-3532 Ph: (443) 379-6743 |
| NPI Number | 1275230781 |
|---|---|
| Provider Enumeration Date | 02/15/2023 |
| Last Update Date | 03/27/2023 |
| Certification Date | 03/27/2023 |
| Medicare PECOS PAC ID | 1153851647 |
|---|---|
| Medicare Enrollment ID | O20250213001288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275230781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Udodiri Jude Onwubiko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265160162 PECOS PAC ID: 2062881204 Enrollment ID: I20221212000565 |
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