Organization
THE NEW BEGINNING FELLOWSHIP CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALONZO MITCHELL (CEO)
(714) 839-2515
Entity
Organization
Contact information
Practice address
16581 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-2344
(714) 839-2515
(714) 839-5501
Mailing address
16581 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-2344
(714) 839-2515
(714) 839-5501
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
300120AN
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
300120BN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300120AN
DEPT OF ALCOHOL AND DRUG
CA
01
—
300120BN
DEPT OF ALCOHOL & DRUG
CA
Enumeration date
07/21/2005
Last updated
08/22/2020
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