Your New Beginning

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL 047067 Issued in NC

Legal business name

YOUR NEW BEGINNING

Practice address

529 Harris Ave
Raeford, NC 28376-3113

Phone

(910) 904-6944

Fax

(910) 904-2727

NPI assigned

Jan 2, 2007

Last updated

Oct 30, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Chris Keith Slocumb

Title

Cheif Executive Administrator

Phone

(910) 904-6944

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1518024322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 HARRIS AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763113",
            "telephone_number": "910-904-6944",
            "fax_number": "910-904-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 HARRIS AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763113",
            "telephone_number": "910-904-6944",
            "fax_number": "910-904-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR NEW BEGINNING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "SLOCUMB",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "910-904-6944",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL 047067",
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-047-107",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805402",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301267",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408061",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jena Wright
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• Michaela Denise York
• Richard David Young, PA-C
• Your New Beginning, Inc.
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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Raeford, NC
• Providers in Raeford, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.