Organization
NEW BEGINNINGS RESOURCES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHANIEL LEWIS (CEO/PRESIDENT)
(336) 457-9034
Entity
Organization
Contact information
Practice address
4106 TULSA DR, GREENSBORO, NC 27406-6341
(336) 547-6637
(336) 547-6637
Mailing address
4106 TULSA DR, GREENSBORO, NC 27406-6341
(336) 547-6637
(336) 547-6637
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
MHL-041-869
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL-041-869
NC
Other
Enumeration date
06/01/2008
Last updated
04/24/2009
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