Healthcare Provider Details

I. General information

NPI: 1235452921
Provider Name (Legal Business Name): NEW BEGINNINGS RECOVERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2010
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

693 5TH AVE SW
DICKINSON ND
58601-5808
US

IV. Provider business mailing address

693 5TH AVE SW
DICKINSON ND
58601-5808
US

V. Phone/Fax

Practice location:
  • Phone: 701-290-3898
  • Fax:
Mailing address:
  • Phone: 701-290-3898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. SHAWN M SOLBERG
Title or Position: CEO
Credential:
Phone: 701-290-3898