UPI (Provider ID): 13047
Change Report (if Any):
Short Name: NEW BEGINGS BH
Long Name 1: NEW BEGINNINGS BEHAVIORAL
Long Name 2: HEALTH LLC
Address 1: 108 NORTH THIRD STREET
Address 2: SUITE 201
City: IRONTON
Zip Code: 45638
County: LAWR
Contact: KAREN WADDLE
Title: OWNER
Phone: 7405339850
FAX: 7405339852
Vendor: 13047
Reports Status: CLAIMS/BH
MACSIS Last Update Date: 11/29/2011
File Produced: 19MAY2012