Healthcare Provider Details

I. General information

NPI: 1003742289
Provider Name (Legal Business Name): A NEW DAY BEHAVIORAL HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11885 HOLLY LN STE 104
WALDORF MD
20601-3181
US

IV. Provider business mailing address

8209 PULASKI HWY
ROSEDALE MD
21237-2845
US

V. Phone/Fax

Practice location:
  • Phone: 443-714-4442
  • Fax:
Mailing address:
  • Phone: 443-714-4442
  • Fax: 443-714-4442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. VANCE DIXON
Title or Position: CEO
Credential: MR
Phone: 443-714-4442