Healthcare Provider Details
I. General information
NPI: 1982813010
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
1137 W 6TH ST
LOS ANGELES CA
90017-1828
US
IV. Provider business mailing address
1137 W 6TH STREET
LOS ANGELES CA
90017
US
V. Phone/Fax
- Phone: 213-250-1005
- Fax:
- Phone: 213-250-1005
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/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