Provider Demographics
NPI:1366642084
Name:COMMENCEMENTS: A NEW BEGINNING
Entity Type:Organization
Organization Name:COMMENCEMENTS: A NEW BEGINNING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERELY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GRISBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-632-3446
Mailing Address - Street 1:6236 LUMBER RIVER CT
Mailing Address - Street 2:
Mailing Address - City:N LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89081-6649
Mailing Address - Country:US
Mailing Address - Phone:702-632-3446
Mailing Address - Fax:702-632-3446
Practice Address - Street 1:6236 LUMBER RIVER CT
Practice Address - Street 2:
Practice Address - City:N LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89081-6649
Practice Address - Country:US
Practice Address - Phone:702-632-3446
Practice Address - Fax:702-632-3446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children