| New Beginnings Supportive Services, Llc | |
|
6449 Bareback Ter North Chesterfield VA 23234-4196 | |
| (804) 479-1677 | |
| Not Available |
| Full Name | New Beginnings Supportive Services, Llc |
|---|---|
| Speciality | Psychiatric Residential Treatment Facility |
| Location | 6449 Bareback Ter, North Chesterfield, Virginia |
| Authorized Official Name and Position | Fayeshon Davidson (DIRECTOR OF SERVICES) |
| Authorized Official Contact | 8044791677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Beginnings Supportive Services, Llc 6449 Bareback Ter North Chesterfield VA 23234-4196 Ph: (804) 479-1677 | New Beginnings Supportive Services, Llc 6449 Bareback Ter North Chesterfield VA 23234-4196 Ph: (804) 479-1677 |
| NPI Number | 1063110914 |
|---|---|
| Provider Enumeration Date | 02/20/2023 |
| Last Update Date | 06/15/2023 |
| Certification Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063110914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 323P00000X | Psychiatric Residential Treatment Facility | (* (Not Available)) | Primary |
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