Organization
RENEWED BEGINNINGS HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRINA VERNELL BOYD (PRESIDENT)
(980) 213-1290
Entity
Organization
Contact information
Practice address
13113 LAKEMORE DR, CHARLOTTE, NC 28278-0182
(980) 213-1290
Mailing address
13113 LAKEMORE DR, CHARLOTTE, NC 28278-0182
(980) 213-1290
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
347C00000X
Private Vehicle
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
04/07/2021
Last updated
05/02/2024
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