Provider Demographics
NPI:1295292803
Name:A NEW BEGINNING FOR ME
Entity type:Organization
Organization Name:A NEW BEGINNING FOR ME
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:PRINCESS
Authorized Official - Middle Name:M
Authorized Official - Last Name:WESLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-205-8708
Mailing Address - Street 1:44734 27TH ST E
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93535-2829
Mailing Address - Country:US
Mailing Address - Phone:818-205-8708
Mailing Address - Fax:844-367-9513
Practice Address - Street 1:43535 17TH ST W UNIT 602
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-5984
Practice Address - Country:US
Practice Address - Phone:661-471-9321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A NEW BEGINNING FOR ME
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-03-01
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health