New Salem Missionary Baptist Church

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

Legal business name

NEW SALEM MISSIONARY BAPTIST CHURCH

Doing business as

New Youth ReDevelopment

Practice address

2507 Bryant Ave N
Minneapolis, MN 55411-2116

Phone

(612) 522-2951

Fax

(612) 529-9416

NPI assigned

Oct 22, 2019

Organization subpart

Yes

Parent organization

NEW SALEM MISSIONARY BAPTIST CHURCHAs reported in NPPES

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

Authorized official

Name

Chasma Dixon

Title

Billing Manager

Phone

(612) 522-2951

Specialties & licenses 1

Addresses

Other names 1

• New Youth ReDevelopment Doing business as

Part of

New Salem Missionary Baptist Church

Locations

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1699318766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 BRYANT AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554112116",
            "telephone_number": "612-522-2951",
            "fax_number": "612-529-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 BRYANT AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554112116",
            "telephone_number": "612-522-2951",
            "fax_number": "612-529-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SALEM MISSIONARY BAPTIST CHURCH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW SALEM MISSIONARY BAPTIST CHURCH",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "CHASMA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "612-522-2951"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Youth ReDevelopment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• New Horizons Health Center
• New Millennium Academy
• New Minnesota Purpose of Freedom
• New Salem Metamorphosis Adolesent Program
• New Salem Metormorphosis Youth Program
• New Vision Mental Health Inc
• New Visions School
• New Youth Program
• Alexis Marie Newberry, MD
• Ashley Marie Newberry, M.D.

• Children's Substance Abuse Rehabilitation Facility in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Children's Substance Abuse Rehabilitation Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.