Organization
NEW BEGINNINGS YOUTH HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAZ MACK (DIRECTOR)
(316) 670-3066
Entity
Organization
Contact information
Practice address
2730 N GLENDALE ST, WICHITA, KS 67220-3038
(316) 259-4131
Mailing address
2730 N GLENDALE ST, WICHITA, KS 67220-3038
(316) 259-4131
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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