Organization
NEW BEGINNINGS PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY LEE BEALE SR. D. MIN (CEO)
(252) 587-3583
Entity
Organization
Contact information
Practice address
415 E HOLLOMAN AVE, AHOSKIE, NC 27910-2314
(252) 332-8761
(252) 332-8700
Mailing address
415 E HOLLOMAN AVE, AHOSKIE, NC 27910-2314
(252) 332-8761
(252) 332-8700
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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