Provider Demographics
NPI:1528377181
Name:NEW BEGINNINGS COMMUNITY COUNSELING CENTER
Entity Type:Organization
Organization Name:NEW BEGINNINGS COMMUNITY COUNSELING CENTER
Other - Org Name:NARCO FREEDOM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOCIAL WORKER - THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERCEDES
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:718-665-2456
Mailing Address - Street 1:2780 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10455-4029
Mailing Address - Country:US
Mailing Address - Phone:718-665-2456
Mailing Address - Fax:718-665-1174
Practice Address - Street 1:2780 3RD AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455-4029
Practice Address - Country:US
Practice Address - Phone:718-665-2456
Practice Address - Fax:718-665-1174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-30
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY072062261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)