Provider Demographics
NPI:1689790255
Name:NEW BEGINNINGS C-STAR, INC
Entity Type:Organization
Organization Name:NEW BEGINNINGS C-STAR, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:F
Authorized Official - Last Name:CULRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-367-8989
Mailing Address - Street 1:3901 UNION BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63115-1130
Mailing Address - Country:US
Mailing Address - Phone:314-367-8989
Mailing Address - Fax:314-367-2188
Practice Address - Street 1:3901 UNION BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63115-1130
Practice Address - Country:US
Practice Address - Phone:314-367-8989
Practice Address - Fax:314-367-2188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO30667931261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder