Provider Demographics
NPI:1235325242
Name:NEW BEGINNINGS OF CHARLESTON INC.
Entity Type:Organization
Organization Name:NEW BEGINNINGS OF CHARLESTON INC.
Other - Org Name:CLOVERLEAF/CLEARVIEW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GREER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:843-343-6136
Mailing Address - Street 1:PO BOX 50668
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-0668
Mailing Address - Country:US
Mailing Address - Phone:843-207-9827
Mailing Address - Fax:843-207-1705
Practice Address - Street 1:716 W FRONT ST
Practice Address - Street 2:
Practice Address - City:LINCOLNVILLE
Practice Address - State:SC
Practice Address - Zip Code:29485-7112
Practice Address - Country:US
Practice Address - Phone:843-832-1086
Practice Address - Fax:843-832-1086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSR-0005293001-GH322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC913MXHMedicaid