Organization
BLESSED NEW BEGINNINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOBBY LOUIS CUNNINGHAM (DIRECTOR/QP)
(336) 734-3824
Entity
Organization
Contact information
Practice address
1002 WAKEFIELD DR, GREENSBORO, NC 27410-3135
(336) 541-8160
(336) 541-8161
Mailing address
PO BOX 16527, GREENSBORO, NC 27416-0527
(336) 541-8160
(336) 541-8161
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-041-1039
NC
Other
Enumeration date
01/18/2012
Last updated
02/18/2022
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