Organization
NEW BEGINNINGS RECOVERY TREATMENT CENTER, INC.
Active
Organization
NEW BEGINNINGS RECOVERY TREATMENT CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TATYANA YAKOVENKO (EXECUTIVE DIRECTOR)
(310) 666-4082
Entity
Organization
Contact information
Practice address
5311 S WESTERN AVE, LOS ANGELES, CA 90062-2703
(323) 299-2111
Mailing address
5311 S WESTERN AVE, LOS ANGELES, CA 90062-2703
(323) 299-2111
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
190337BN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19713000
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
04/10/2007
Last updated
08/22/2020
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