Organization
NEW BEGINNINGS FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY P KLASS (DIRECTOR/OWNER)
(336) 936-0029
Entity
Organization
Contact information
Practice address
713 E LEXINGTON RD APT 202, MOCKSVILLE, NC 27028-2623
(336) 936-0029
(336) 936-0039
Mailing address
713 E LEXINGTON RD, MOCKSVILLE, NC 27028-2623
(336) 936-0029
(336) 936-0039
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL030019
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6604105
PROVIDER NUMBER
—
Enumeration date
05/22/2009
Last updated
05/22/2009
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