Organization
NEW BEGINNINGS INTERVENTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE BULLOCK LCSW, LMSW (CEO, PROGRAM DIRECTOR)
(804) 833-0066
Entity
Organization
Contact information
Practice address
5601 SARA KAY DR, NORTH CHESTERFIELD, VA 23237-3115
(804) 833-0066
Mailing address
5601 SARA KAY DR, NORTH CHESTERFIELD, VA 23237-3115
(804) 833-0066
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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