Provider Demographics
NPI:1023209756
Name:NEW DIRECTION CENTERS OF AMERICA
Entity Type:Organization
Organization Name:NEW DIRECTION CENTERS OF AMERICA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RONNIE
Authorized Official - Middle Name:MARVIN
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-364-9400
Mailing Address - Street 1:309 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-1306
Mailing Address - Country:US
Mailing Address - Phone:405-364-9400
Mailing Address - Fax:405-364-9407
Practice Address - Street 1:29501 KICKAPOO ROAD
Practice Address - Street 2:MBCC
Practice Address - City:MCLOUD
Practice Address - State:OK
Practice Address - Zip Code:74851-1131
Practice Address - Country:US
Practice Address - Phone:405-364-9400
Practice Address - Fax:405-364-9407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK3OtherSUBSTANCE ABUSE