Provider Demographics
NPI:1699524504
Name:NEW BEGINNINGS BEHAVIORAL HEALTH CORPORATION
Entity type:Organization
Organization Name:NEW BEGINNINGS BEHAVIORAL HEALTH CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DIR
Authorized Official - Prefix:
Authorized Official - First Name:TRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TUNCTSON-JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-470-2623
Mailing Address - Street 1:1045 TAYLOR AVE STE 113
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21286-8304
Mailing Address - Country:US
Mailing Address - Phone:443-598-8988
Mailing Address - Fax:
Practice Address - Street 1:1045 TAYLOR AVE STE 113
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21286-8304
Practice Address - Country:US
Practice Address - Phone:443-598-8988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)