Provider Demographics
NPI:1497093835
Name:NEW START HOLISTIC CENTER
Entity Type:Organization
Organization Name:NEW START HOLISTIC CENTER
Other - Org Name:MULTICULTURAL RESOURCES CENTER, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:WILLIE
Authorized Official - Last Name:MCGRADY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:910-864-5758
Mailing Address - Street 1:980 KENNESAW DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-5757
Mailing Address - Country:US
Mailing Address - Phone:910-864-5758
Mailing Address - Fax:910-864-5389
Practice Address - Street 1:249 JOYCE LN
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-5021
Practice Address - Country:US
Practice Address - Phone:910-848-5515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-18
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-047-140310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility