Provider Demographics
NPI:1861638967
Name:NEW BEGINNING OUTREACH MINISTRY
Entity Type:Organization
Organization Name:NEW BEGINNING OUTREACH MINISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIDD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-493-1505
Mailing Address - Street 1:14658 RUTLAND ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48227-1437
Mailing Address - Country:US
Mailing Address - Phone:313-493-1505
Mailing Address - Fax:313-493-1505
Practice Address - Street 1:9144 MANSFIELD ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48228-2122
Practice Address - Country:US
Practice Address - Phone:313-493-1505
Practice Address - Fax:313-493-1505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-20
Last Update Date:2008-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable