1679725378 NPI number — NEW DIRECTIONS COMMUNITY MENTAL HEALTH CENTER

Table of content: (NPI 1679725378)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679725378 NPI number — NEW DIRECTIONS COMMUNITY MENTAL HEALTH CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW DIRECTIONS COMMUNITY MENTAL HEALTH CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
NONE
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679725378
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/06/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
28870 SOUTH DIXIE HIGHWAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOMESTEAD
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33033-2405
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-247-4009
Provider Business Mailing Address Fax Number:
305-247-2209

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
28870 S DIXIE HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOMESTEAD
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33033-2405
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-247-4009
Provider Business Practice Location Address Fax Number:
305-247-2209
Provider Enumeration Date:
10/14/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ROSARIO
Authorized Official First Name:
LUZ
Authorized Official Middle Name:
Y
Authorized Official Title or Position:
VICE-PRESIDENT
Authorized Official Telephone Number:
305-247-4009

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251C00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)