Provider Demographics
NPI:1477605657
Name:NEW BEGINNINGS MATERNITY TRANSITIONAL HOME FOR WOMEN
Entity Type:Organization
Organization Name:NEW BEGINNINGS MATERNITY TRANSITIONAL HOME FOR WOMEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECEUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHANTE
Authorized Official - Middle Name:JONELLE
Authorized Official - Last Name:ROSEBORO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:828-413-3338
Mailing Address - Street 1:108 NED J. BRITTAIN LN
Mailing Address - Street 2:PO BOX 2342
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28680-2342
Mailing Address - Country:US
Mailing Address - Phone:828-413-3338
Mailing Address - Fax:
Practice Address - Street 1:104 NED J BRITTAIN LN
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-7301
Practice Address - Country:US
Practice Address - Phone:828-437-3712
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-012-113324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility