Organization
NEW BEGINNINGS YOUTH FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMESHA KELLY SPINKS (PRESIDENT)
(336) 302-0801
Entity
Organization
Contact information
Practice address
2106 NEWELL STREET, RAMSEUR, NC 27316-0157
(336) 824-3314
Mailing address
PO BOX 157, 2106 NEWELL ST., RAMSEUR, NC 27316-0157
(336) 824-3314
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
076069
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030859
MHL -076069
NC
01
—
3408451
CAP PROVIDER NUMBER
NC
05
—
6603708
—
NC
Enumeration date
04/25/2007
Last updated
08/22/2020
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