Healthcare Provider Details

I. General information

NPI: 1790953537
Provider Name (Legal Business Name): NEW BEGINNINGS RECOVERY & TREATMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2008
Last Update Date: 02/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1575 W 2ND ST
LOS ANGELES CA
90026
US

IV. Provider business mailing address

1137 W 6TH ST
LOS ANGELES CA
90017
US

V. Phone/Fax

Practice location:
  • Phone: 213-250-0244
  • Fax:
Mailing address:
  • Phone:
  • 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: TARAS BALBA
Title or Position: OFFICE CLERK
Credential:
Phone: 213-250-1005