Provider Demographics
NPI:1043922024
Name:NEW INSIGHTS BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:NEW INSIGHTS BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-449-5129
Mailing Address - Street 1:2720 W NORTH AVE STE 255
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21216-3138
Mailing Address - Country:US
Mailing Address - Phone:410-449-5129
Mailing Address - Fax:
Practice Address - Street 1:2720 W NORTH AVE STE 255
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21216-3138
Practice Address - Country:US
Practice Address - Phone:410-449-5129
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-21
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD50233270Medicaid