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Organization

A NEW BEGINNING ADULT AND YOUTH SERVICE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS LEONARD POWE (CEO)
(704) 694-8316
Entity
Organization

Contact information

Practice address
107C STE H EAST WADE ST, WADESBORO, NC 28091-0107
(704) 695-1728
(704) 994-2780
Mailing address
PO BOX 616, LILESVILLE, NC 28091-0616
(704) 695-1728
(704) 994-2780

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary

Other

Enumeration date
03/14/2007
Last updated
02/24/2009
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