Provider Demographics
NPI:1629325089
Name:NEW BEGINNINGS TREATMENT CENTER
Entity Type:Organization
Organization Name:NEW BEGINNINGS TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:WARNER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:504-400-2477
Mailing Address - Street 1:15094 E LAKEFRONT DR
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737-7077
Mailing Address - Country:US
Mailing Address - Phone:504-400-2477
Mailing Address - Fax:
Practice Address - Street 1:7902 WRENWOOD BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-1794
Practice Address - Country:US
Practice Address - Phone:504-400-2477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-04
Last Update Date:2012-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder