Healthcare Provider Details

I. General information

NPI: 1417166471
Provider Name (Legal Business Name): NEW BEGINNINGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7514 W SUNSET BLVD
LOS ANGELES CA
90046-3408
US

IV. Provider business mailing address

5311 S WESTERN AVE
LOS ANGELES CA
90062-2703
US

V. Phone/Fax

Practice location:
  • Phone: 323-845-9850
  • Fax:
Mailing address:
  • Phone: 323-299-2111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CURTIS WILLIAMS
Title or Position: PROGRAM DIRECTOR
Credential: CAS
Phone: 323-299-2111