| NPI | 1467823328 |
|---|---|
| Other Name | A NEW START II, LLC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM KELLY VINCENT Administrator 270-754-3494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 800186) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 800186) | |
| 207Q00000X Family Medicine (Licence: KY 800186) | |
| 207R00000X Internal Medicine (Licence: KY 800186) | |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2020-07-30 |