Organization Active NPI

New Beginnings Drug Treatment Center Inc

  • Substance Abuse Rehabilitation Facility
  • South Charleston, WV
National Provider Identifier
1770018855
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
2017971900 Issued in WV
Legal business name
NEW BEGINNINGS DRUG TREATMENT CENTER INC
Practice address
4855 McCorkle Ave SW
New Beginnings Drug Treatment Center Inc
South Charleston, WV 25309-1331
Phone
(304) 853-3869
Fax
(304) 853-3869
NPI assigned
Apr 26, 2017
Last updated
Apr 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Authorized official

Name
Dr. William Lee Muckalew, PH.D
Title
Chief Executive Officer
Phone
(681) 319-1235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 2017971900 WV Primary

Addresses

Primary practice location

4855 McCorkle Ave SW
New Beginnings Drug Treatment Center Inc
South Charleston, WV 25309-1331

Mailing address

4855 McCorkle Ave SW
New Beginnings Drug Treatment Center Inc
South Charleston, WV 25309-1331
Phone (304) 853-3869

National Provider Directory

National Provider Directory

Locations

4855 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 720-4444

NPI Registry JSON

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1770018855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 MCCORKLE AVE SW",
            "address_2": "NEW BEGINNINGS DRUG TREATMENT CENTER INC",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091331",
            "telephone_number": "304-853-3869",
            "fax_number": "304-853-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 MCCORKLE AVE SW",
            "address_2": "NEW BEGINNINGS DRUG TREATMENT CENTER INC",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091331",
            "telephone_number": "304-853-3869",
            "fax_number": "304-853-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNINGS DRUG TREATMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "MUCKALEW",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "681-319-1235",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WV",
            "license": "2017971900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.