Organization
NEW BEGINNINGS SUPPORTIVE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAYESHON DAVIDSON (DIRECTOR OF SERVICES)
(804) 479-1677
Entity
Organization
Contact information
Practice address
6449 BAREBACK TER, NORTH CHESTERFIELD, VA 23234-4196
(804) 479-1677
Mailing address
6449 BAREBACK TER, NORTH CHESTERFIELD, VA 23234-4196
(804) 479-1677
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
06/15/2023
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