Provider Demographics
NPI:1033871082
Name:NEW BEGINNINGS BEHAVIORAL HEALTH CORPORATION
Entity Type:Organization
Organization Name:NEW BEGINNINGS BEHAVIORAL HEALTH CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-470-2623
Mailing Address - Street 1:1055 TAYLOR AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21286-8333
Mailing Address - Country:US
Mailing Address - Phone:443-470-2623
Mailing Address - Fax:
Practice Address - Street 1:1055 TAYLOR AVE STE 203
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21286-8333
Practice Address - Country:US
Practice Address - Phone:443-470-2623
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW BEGINNINGS BEHAVIORAL HEALTH CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health