Provider Demographics
NPI:1124225669
Name:A NEW BEGINNING OUTPATIENT TREATMENT CENTER
Entity type:Organization
Organization Name:A NEW BEGINNING OUTPATIENT TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:T
Authorized Official - Last Name:ANNE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:480-941-4247
Mailing Address - Street 1:4300 N MILLER RD
Mailing Address - Street 2:251
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-3619
Mailing Address - Country:US
Mailing Address - Phone:480-941-4247
Mailing Address - Fax:480-941-4010
Practice Address - Street 1:4300 N MILLER RD
Practice Address - Street 2:251
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-3619
Practice Address - Country:US
Practice Address - Phone:480-941-4247
Practice Address - Fax:480-941-4010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2099103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty