Provider Demographics
NPI:1396598637
Name:NEW DAWN RECOVERY LLC
Entity type:Organization
Organization Name:NEW DAWN RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:L
Authorized Official - Last Name:BEREZNIAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-856-4148
Mailing Address - Street 1:101 S MERCER ST STE 302
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-3842
Mailing Address - Country:US
Mailing Address - Phone:724-856-4148
Mailing Address - Fax:
Practice Address - Street 1:101 S MERCER ST STE 302
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-3842
Practice Address - Country:US
Practice Address - Phone:724-856-4148
Practice Address - Fax:724-652-5158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center