MEDICARE: NEW BEGINNINGS BEHAVIORAL HEALTH CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1699524504
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW BEGINNINGS BEHAVIORAL HEALTH CORPORATION

Provider Business Mailing Address
First Line	:	1045 TAYLOR AVE STE 113
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21286-8304
Country	:	US
Telephone Number	:	443-598-8988
Fax Number	:

Provider Business Practice Location Address
First Line	:	1045 TAYLOR AVE STE 113
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21286-8304
Country	:	US
Telephone Number	:	443-598-8988
Fax Number	:

Authorized Official
Title or Position	:	GENERAL DIR
Name	:	TRINA TUNCTSON-JOHNSON
Credential	:
Telephone Number	:	443-470-2623

Provider Enumeration Date	:	05/14/2024
Last Update Date	:	05/14/2024

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