Provider Demographics
NPI:1497923213
Name:NEW BEGINNINGS RECOVERY & TREATMENT CENTER
Entity Type:Organization
Organization Name:NEW BEGINNINGS RECOVERY & TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE CLERK
Authorized Official - Prefix:
Authorized Official - First Name:TARAS
Authorized Official - Middle Name:
Authorized Official - Last Name:BALNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-250-1005
Mailing Address - Street 1:1137 W 6TH ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:700 WILSHARE BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026
Practice Address - Country:US
Practice Address - Phone:213-250-1005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health