Provider Demographics
NPI:1598164196
Name:NEW VISION HOUSE OF HOPE, INC.
Entity Type:Organization
Organization Name:NEW VISION HOUSE OF HOPE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:CULVER
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:410-466-8558
Mailing Address - Street 1:33 S GAY ST STE 200
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-4039
Mailing Address - Country:US
Mailing Address - Phone:410-466-8558
Mailing Address - Fax:410-466-8550
Practice Address - Street 1:33 S GAY ST STE 200
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-4039
Practice Address - Country:US
Practice Address - Phone:410-466-8558
Practice Address - Fax:410-466-8550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-19
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD423198800Medicaid