Provider Demographics
NPI:1669669685
Name:NEW BEGINNINGS: STRENGTHENING COMMUNITIES ONE FAMILY AT A TIME LLC
Entity Type:Organization
Organization Name:NEW BEGINNINGS: STRENGTHENING COMMUNITIES ONE FAMILY AT A TIME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:ROACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-316-9070
Mailing Address - Street 1:2107 GRAVES MILL RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-4292
Mailing Address - Country:US
Mailing Address - Phone:434-316-9070
Mailing Address - Fax:434-316-9030
Practice Address - Street 1:2107 GRAVES MILL RD
Practice Address - Street 2:SUITE B
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551-4292
Practice Address - Country:US
Practice Address - Phone:434-316-9070
Practice Address - Fax:434-316-9030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health