Provider Demographics
NPI:1043073364
Name:NEW BR SERVICES LLC
Entity Type:Organization
Organization Name:NEW BR SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:QUANESHA
Authorized Official - Middle Name:SHAKIRA
Authorized Official - Last Name:DRUMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-642-9028
Mailing Address - Street 1:506 E LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-4534
Mailing Address - Country:US
Mailing Address - Phone:980-643-7842
Mailing Address - Fax:
Practice Address - Street 1:506 E LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-4534
Practice Address - Country:US
Practice Address - Phone:980-643-7842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health