Provider Demographics
NPI:1932302239
Name:A HOPE IN NEW BEGINNINGS
Entity Type:Organization
Organization Name:A HOPE IN NEW BEGINNINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:BASS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:702-384-4673
Mailing Address - Street 1:1736 E CHARLESTON
Mailing Address - Street 2:#264
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89104
Mailing Address - Country:US
Mailing Address - Phone:702-384-4673
Mailing Address - Fax:702-384-3667
Practice Address - Street 1:1500 E TROPICANA
Practice Address - Street 2:STE 103
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-8344
Practice Address - Country:US
Practice Address - Phone:702-384-4673
Practice Address - Fax:702-384-3667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVVCSW645CMedicare ID - Type Unspecified