Organization
NEW BEGINNINGS YOUTH FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMESHA KELLY SPINKS (PRESIDENT)
(336) 824-3314
Entity
Organization
Contact information
Practice address
130 BRADY STREET EXT, RAMSEUR, NC 27316-8701
(336) 824-3314
(336) 824-4659
Mailing address
PO BOX 157, RAMSEUR, NC 27316-0157
(336) 824-3314
(336) 824-4659
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL 076-069
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603708
—
NC
05
—
8302104
—
NC
Enumeration date
03/18/2010
Last updated
03/18/2010
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