Provider Demographics
NPI:1467769422
Name:A NEW BEGINNING ADULT AND YOUTH SERVICES, INC.
Entity Type:Organization
Organization Name:A NEW BEGINNING ADULT AND YOUTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEISHA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:COVINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-206-3813
Mailing Address - Street 1:PO BOX 2790
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:NC
Mailing Address - Zip Code:28380-2790
Mailing Address - Country:US
Mailing Address - Phone:910-206-3813
Mailing Address - Fax:910-817-7427
Practice Address - Street 1:287 COUNTY HOME ROAD
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-3422
Practice Address - Country:US
Practice Address - Phone:910-206-3813
Practice Address - Fax:910-817-7427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-10
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health