Organization
NEW BEGINNING RESIDENTIAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MORY BAMBA (CEO)
(804) 651-6890
Entity
Organization
Contact information
Practice address
9608 HONEY TER, GLEN ALLEN, VA 23060-3298
(804) 651-6890
Mailing address
9608 HONEY TER, GLEN ALLEN, VA 23060-3298
(804) 651-6890
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
1167-01-001
VA
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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