MEDICARE: NEW BEGINNINGS TRANSITIONAL LIVING FOUNDATION

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	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1972219475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW BEGINNINGS TRANSITIONAL LIVING FOUNDATION

Provider Business Mailing Address
First Line	:	20 BAILEY AVE STE 300
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15211-1728
Country	:	US
Telephone Number	:	412-628-0403
Fax Number	:	412-235-7486

Provider Business Practice Location Address
First Line	:	20 BAILEY AVE STE 300
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15211-1728
Country	:	US
Telephone Number	:	412-628-0403
Fax Number	:	412-235-7486

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. SUSAN ANN RUA
Credential	:	LPC
Telephone Number	:	412-628-0403

Provider Enumeration Date	:	01/27/2023
Last Update Date	:	01/27/2023

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Directions to “NEW BEGINNINGS TRANSITIONAL LIVING FOUNDATION ” Practice Location

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