Provider Demographics
NPI:1407273733
Name:THE BRUSON GROUP, INC.
Entity Type:Organization
Organization Name:THE BRUSON GROUP, INC.
Other - Org Name:NEW BEGINNING'S HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:K
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:AAS, BA, MA
Authorized Official - Phone:919-345-0045
Mailing Address - Street 1:4225 COLDWATER SPRINGS DRIVE
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-8419
Mailing Address - Country:US
Mailing Address - Phone:919-345-0045
Mailing Address - Fax:919-261-8569
Practice Address - Street 1:5309 KYLE DRIVE, STE. A
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-6101
Practice Address - Country:US
Practice Address - Phone:919-261-8566
Practice Address - Fax:919-261-8569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-25
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3410048Medicaid