Provider Demographics
NPI:1083048763
Name:NEW BEGINNINGS EAST
Entity Type:Organization
Organization Name:NEW BEGINNINGS EAST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:DWAN
Authorized Official - Last Name:TOUSSAINT
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:704-720-7897
Mailing Address - Street 1:394 COURTLAND CT
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28081-7171
Mailing Address - Country:US
Mailing Address - Phone:704-720-7897
Mailing Address - Fax:
Practice Address - Street 1:394 COURTLAND CT
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28081-7171
Practice Address - Country:US
Practice Address - Phone:704-720-7897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-29
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities