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Organization
NEW BEGINNINGS GROUP HOME, INC.
Active
Organization
NEW BEGINNINGS GROUP HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASSINDA KING BAYO (OWNER)
(602) 733-9285
Entity
Organization
Contact information
Practice address
3109 S 100TH DR, TOLLESON, AZ 85353-8434
(602) 733-9285
Mailing address
3109 S 100TH DR, TOLLESON, AZ 85353-8434
(602) 733-9285
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5432
IRS
AZ
Enumeration date
12/11/2018
Last updated
12/11/2018
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