Organization
NEW BEGINNINGS OF REIDSVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD BROADNAX (DIRECTOR)
(336) 451-0571
Entity
Organization
Contact information
Practice address
6377 US 29 BUS, REIDSVILLE, NC 27320-8957
(336) 451-0571
(336) 342-9887
Mailing address
200 S MAIN ST, REIDSVILLE, NC 27320-3814
(336) 451-0571
(336) 342-9887
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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