Provider Demographics
NPI:1750848495
Name:NEW INSIGHTS BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:NEW INSIGHTS BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:L
Authorized Official - Last Name:TERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-449-5129
Mailing Address - Street 1:2718 WEST NORTH AVE
Mailing Address - Street 2:SUITE 255
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21216
Mailing Address - Country:US
Mailing Address - Phone:410-919-8618
Mailing Address - Fax:
Practice Address - Street 1:2718 WEST NORTH AVE
Practice Address - Street 2:SUITE 255
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21216-3138
Practice Address - Country:US
Practice Address - Phone:410-919-8618
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-01
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1720354814Medicaid