Provider Demographics
NPI:1245531706
Name:NEW BEGINNINGS FAMILY CENTER
Entity type:Organization
Organization Name:NEW BEGINNINGS FAMILY CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:COKER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:860-244-2181
Mailing Address - Street 1:880 ASYLUM AVE
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-1902
Mailing Address - Country:US
Mailing Address - Phone:860-244-2181
Mailing Address - Fax:860-548-1608
Practice Address - Street 1:880 ASYLUM AVE
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-1902
Practice Address - Country:US
Practice Address - Phone:860-244-2181
Practice Address - Fax:860-548-1608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-15
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001301251S00000X, 251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTSABRINA12Medicare PIN