Provider Demographics
NPI:1497917926
Name:NEW VISION BEHAVIORAL HEALTH SERVICES INC
Entity Type:Organization
Organization Name:NEW VISION BEHAVIORAL HEALTH SERVICES INC
Other - Org Name:NEW VISION BEHAVIORAL HEALTH SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TYNDALE- YODER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:410-254-4343
Mailing Address - Street 1:5718 HARFORD RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21214-2237
Mailing Address - Country:US
Mailing Address - Phone:410-254-4343
Mailing Address - Fax:410-254-4342
Practice Address - Street 1:5718 HARFORD RD
Practice Address - Street 2:SUITE 103
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21214-2237
Practice Address - Country:US
Practice Address - Phone:410-254-4343
Practice Address - Fax:410-254-4342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health