Provider Demographics
NPI:1033545280
Name:8 NEW BEGINNING WITH KAYANDA, INC
Entity Type:Organization
Organization Name:8 NEW BEGINNING WITH KAYANDA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:OCTAVE
Authorized Official - Middle Name:
Authorized Official - Last Name:KAYANDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:3365-002-1741
Mailing Address - Street 1:1919-A BOULEVARD STREET
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407
Mailing Address - Country:US
Mailing Address - Phone:336-295-1830
Mailing Address - Fax:336-459-3713
Practice Address - Street 1:1919-A BOULEVARD STREET
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407
Practice Address - Country:US
Practice Address - Phone:336-295-1830
Practice Address - Fax:336-459-3713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-19
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL0411058251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health