MEDICARE: NEW DAY NEW START BEHAVIORAL HEALTH CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM0850X	Adult Mental Health Clinic/Center
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1649983420
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW DAY NEW START BEHAVIORAL HEALTH CENTER, LLC

Provider Business Mailing Address
First Line	:	5235 KING AVE STE 100
Second Line	:
City	:	ROSEDALE
State	:	MD
Zip	:	21237-4068
Country	:	US
Telephone Number	:	443-815-3941
Fax Number	:

Provider Business Practice Location Address
First Line	:	5235 KING AVE STE 100
Second Line	:
City	:	ROSEDALE
State	:	MD
Zip	:	21237-4068
Country	:	US
Telephone Number	:	443-815-3941
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHAWN HART
Credential	:
Telephone Number	:	410-350-9616

Provider Enumeration Date	:	12/27/2022
Last Update Date	:	11/11/2024

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