# NEW BEGINNINGS OF REIDSVILLE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164757894
- **Authorized official:** MR. RICHARD BROADNAX (DIRECTOR)
- **Authorized official phone:** (336) 451-0571

## Contact information

- **Practice address:** 6377 US 29 BUS, REIDSVILLE, NC 27320-8957
- **Practice address phone:** (336) 451-0571
- **Practice address fax:** (336) 342-9887
- **Mailing address:** 200 S MAIN ST, REIDSVILLE, NC 27320-3814
- **Mailing address phone:** (336) 451-0571
- **Mailing address fax:** (336) 342-9887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 10/14/2009
- **Last updated:** 10/14/2009