OrganizationActive
Life Renewal Services, Inc
NPI 1174074066 · Substance Use Disorder Rehabilitation Clinic/Center · Baltimore, MD
Provider details
- NPI number
- 1174074066
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Karen Byrd, Ceo(443) 289-8149
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3455 Wilkens Ave
Suite 303
Baltimore, MD 21229-5213
Phone: (443) 289-8149
Street-level locationGet directions
Mailing address
Po Box 1254
Westminster, MD 21158-5254
Registry dates
- Enumerated
- 2016-10-17
- Last updated
- 2016-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.