Provider Demographics
NPI:1124539085
Name:NEW DIRECTION NETWORK
Entity Type:Organization
Organization Name:NEW DIRECTION NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:KHADIJAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-992-4973
Mailing Address - Street 1:4444 STATE ST APT L332
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-5106
Mailing Address - Country:US
Mailing Address - Phone:989-992-4973
Mailing Address - Fax:
Practice Address - Street 1:605 S 24TH ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48601-6509
Practice Address - Country:US
Practice Address - Phone:989-992-4973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-18
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI253Z00000X, 261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No253Z00000XAgenciesIn Home Supportive Care