Provider Demographics
NPI:1417128950
Name:NEW BEGINNINGS TREATMENT CENTER, INC.
Entity Type:Organization
Organization Name:NEW BEGINNINGS TREATMENT CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:HENLEYJOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHR
Authorized Official - Phone:520-293-8085
Mailing Address - Street 1:231 W GIACONDA WAY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-4341
Mailing Address - Country:US
Mailing Address - Phone:520-293-8085
Mailing Address - Fax:520-293-8089
Practice Address - Street 1:2937 N STONE AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-5915
Practice Address - Country:US
Practice Address - Phone:520-624-9496
Practice Address - Fax:520-624-5295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-12
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH-1285322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children