Healthcare Provider Details

I. General information

NPI: 1265987267
Provider Name (Legal Business Name): THE NEW BEGINNINGS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2016
Last Update Date: 09/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 GRANADA ST STE N
CAMARILLO CA
93010-7725
US

IV. Provider business mailing address

155 GRANADA ST STE N
CAMARILLO CA
93010-7725
US

V. Phone/Fax

Practice location:
  • Phone: 805-987-3162
  • Fax: 805-715-4483
Mailing address:
  • Phone: 805-231-1331
  • 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: MS. SEAN SUSAN BAKER
Title or Position: CEO
Credential: MFT
Phone: 805-231-1331