Provider Demographics
NPI:1598334237
Name:WILLIAMS NEW BEGINNING WNB SUPPORT SERVICES
Entity Type:Organization
Organization Name:WILLIAMS NEW BEGINNING WNB SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DON
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATIVE
Authorized Official - Phone:804-878-5243
Mailing Address - Street 1:8412 O'CONNOR COURT, APT 703
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23228-6328
Mailing Address - Country:US
Mailing Address - Phone:804-878-5243
Mailing Address - Fax:804-525-6003
Practice Address - Street 1:8412 O'CONNOR COURT, APT 703
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23228-6328
Practice Address - Country:US
Practice Address - Phone:804-878-5243
Practice Address - Fax:804-525-6003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-17
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health