Provider Demographics
NPI:1760808992
Name:A NEW ENTRY, INC.
Entity Type:Organization
Organization Name:A NEW ENTRY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:F
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:III
Authorized Official - Credentials:LCSW, CSAT
Authorized Official - Phone:512-470-3243
Mailing Address - Street 1:6633 E HWY 290 STE 212
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-1172
Mailing Address - Country:US
Mailing Address - Phone:888-625-4440
Mailing Address - Fax:
Practice Address - Street 1:1915 E MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78702-1242
Practice Address - Country:US
Practice Address - Phone:888-625-4440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-12
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3705324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility