Organization
NEW BEGINNING INTERVENTION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAKITIA WILSON (CEO)
(478) 461-2754
Entity
Organization
Contact information
Practice address
748 N HOUSTON RD STE F, WARNER ROBINS, GA 31093-8707
(478) 461-2754
Mailing address
608 MANNING ML, MACON, GA 31216-7378
(478) 461-2754
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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