Provider Demographics
NPI:1700124807
Name:A PLACE FOR NEW BEGINNINGS, LLC
Entity Type:Organization
Organization Name:A PLACE FOR NEW BEGINNINGS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WINTER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:609-705-8757
Mailing Address - Street 1:7 SAILFISH DR
Mailing Address - Street 2:
Mailing Address - City:BRIGANTINE
Mailing Address - State:NJ
Mailing Address - Zip Code:08203-1345
Mailing Address - Country:US
Mailing Address - Phone:609-705-8757
Mailing Address - Fax:
Practice Address - Street 1:450 TILTON RD
Practice Address - Street 2:SUITE 202
Practice Address - City:NORTHFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08225-1256
Practice Address - Country:US
Practice Address - Phone:609-705-8757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-24
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC05299200251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health