New Beginnings Group Home, INC.
Residential Treatment Facility, Emotionally Disturbed Children in Tolleson, AZ. Organization (NPI-2).
NPI number1639640915
StatusActive
Last updated in NPPESDec 11, 2018
Details
- NPI
- 1639640915
- Entity type
- Organization (NPI-2)
- Legal business name
- New Beginnings Group Home, INC.
- Organization subpart
- No
- Enumeration date
- Dec 11, 2018
- Last updated
- Dec 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | – | – | Yes |
| 323P00000X | Psychiatric Residential Treatment Facility | – | – |
Practice location
3109 S 100th DrTolleson, AZ 85353-8434
Phone 602-733-9285
Mailing address
3109 S 100th DrTolleson, AZ 85353-8434
Phone 602-733-9285
Authorized official
Kassinda King Bayo
Owner
6027339285
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