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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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