Organization
C'S NEW BEGINNINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VINNIE JOYCE MATHEWS (ADMINISTRATOR/MANAGER)
(859) 264-0646
Entity
Organization
Contact information
Practice address
1240 TELLURIDE CIR, LEXINGTON, KY 40509-2394
(859) 264-0646
(859) 264-7160
Mailing address
1240 TELLURIDE CIR, LEXINGTON, KY 40509-2394
(859) 264-0646
(859) 264-7160
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
KY
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
KY
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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