Healthcare Provider Details

I. General information

NPI: 1598675142
Provider Name (Legal Business Name): LIFE VISIONS RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2411 HAMILTON AVE
BALTIMORE MD
21214-1653
US

IV. Provider business mailing address

1307 S DAHLIA CT
BEL AIR MD
21015-1643
US

V. Phone/Fax

Practice location:
  • Phone: 443-520-4011
  • Fax:
Mailing address:
  • Phone: 443-520-4011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. TIMOTHY FRITZ
Title or Position: OWNER
Credential:
Phone: 443-520-4011