Healthcare Provider Details

I. General information

NPI: 1063379824
Provider Name (Legal Business Name): NEW BEGINNING RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2720 E THOMAS RD STE 270B
PHOENIX AZ
85016-8232
US

IV. Provider business mailing address

2720 E THOMAS RD STE 270B
PHOENIX AZ
85016-8232
US

V. Phone/Fax

Practice location:
  • Phone: 818-482-0010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: HAM KAMURASI MAJUGO
Title or Position: OWNER
Credential:
Phone: 818-482-0010