Healthcare Provider Details

I. General information

NPI: 1639553951
Provider Name (Legal Business Name): TRUE BEGININGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2015
Last Update Date: 07/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 NE 199TH ST #204
MIAMI FL
33179-2927
US

IV. Provider business mailing address

190 NE 199TH ST #204
MIAMI FL
33179-2927
US

V. Phone/Fax

Practice location:
  • Phone: 305-484-4925
  • Fax: 305-949-9038
Mailing address:
  • Phone: 305-484-4925
  • Fax: 305-949-9038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number1106AD274201
License Number StateFL

VIII. Authorized Official

Name: MR. KENDALL WESTMORELAND
Title or Position: OWNER
Credential:
Phone: 305-484-4925