Provider Demographics
NPI:1720315484
Name:NEW BEGINNINGS ADDICTION & RECOVERY CENTER
Entity Type:Organization
Organization Name:NEW BEGINNINGS ADDICTION & RECOVERY CENTER
Other - Org Name:GROUP HOME SUPPORT SERVICES, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHEIF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:DEE
Authorized Official - Last Name:HEASTON
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:909-224-3942
Mailing Address - Street 1:9637 ARROW ROUTE HIGHWAY
Mailing Address - Street 2:BUILDING #4, SUITE A
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730
Mailing Address - Country:US
Mailing Address - Phone:909-224-3942
Mailing Address - Fax:909-945-2855
Practice Address - Street 1:9637 ARROW ROUTE HIGHWAY
Practice Address - Street 2:BUILDING #4, SUITE A
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-1459
Practice Address - Country:US
Practice Address - Phone:909-224-3942
Practice Address - Fax:909-945-2855
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GROUP HOME SUPPORT SERVICES INC,
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-11-17
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health