Provider Demographics
NPI:1003516568
Name:NEW BEGINNINGS BEHAVIORAL HEALTH CARE LLC
Entity Type:Organization
Organization Name:NEW BEGINNINGS BEHAVIORAL HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOBOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-593-4643
Mailing Address - Street 1:20118 N 67TH AVE # 300-450
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-4621
Mailing Address - Country:US
Mailing Address - Phone:480-593-4643
Mailing Address - Fax:
Practice Address - Street 1:12611 N 103RD AVE
Practice Address - Street 2:
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-3422
Practice Address - Country:US
Practice Address - Phone:480-593-4643
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-03
Last Update Date:2023-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health