Provider Demographics
NPI:1225202716
Name:FAMILY UNITED-N-NEW BEGINNINGS, INC.
Entity Type:Organization
Organization Name:FAMILY UNITED-N-NEW BEGINNINGS, INC.
Other - Org Name:FREE YOUR MIND CENTER, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SELLERS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:310-467-5142
Mailing Address - Street 1:11616 HAWTHORNE BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250
Mailing Address - Country:US
Mailing Address - Phone:310-467-5142
Mailing Address - Fax:323-299-0058
Practice Address - Street 1:11616 HAWTHORNE BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250
Practice Address - Country:US
Practice Address - Phone:310-467-5142
Practice Address - Fax:323-299-0058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health