Healthcare Provider Details

I. General information

NPI: 1760860993
Provider Name (Legal Business Name): A NEW SOLUTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2015
Last Update Date: 05/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14540 HAMLIN ST STE I
VAN NUYS CA
91411-4154
US

IV. Provider business mailing address

14540 HAMLIN ST STE I
VAN NUYS CA
91411-4154
US

V. Phone/Fax

Practice location:
  • Phone: 323-202-8432
  • Fax:
Mailing address:
  • Phone: 323-202-8432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: BELINDA BAKER
Title or Position: CEO
Credential:
Phone: 323-202-8432