Provider Demographics
NPI:1295827475
Name:NEW DIRECTIONS INC. OF NORTH CENTRAL CONN.
Entity Type:Organization
Organization Name:NEW DIRECTIONS INC. OF NORTH CENTRAL CONN.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS RECIEVABLES MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:C
Authorized Official - Last Name:BRANCIFORTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-741-3001
Mailing Address - Street 1:113 ELM ST STE 204
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-3739
Mailing Address - Country:US
Mailing Address - Phone:860-741-3001
Mailing Address - Fax:860-741-8332
Practice Address - Street 1:113 ELM ST STE 204
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082-3739
Practice Address - Country:US
Practice Address - Phone:860-741-3001
Practice Address - Fax:860-741-8332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0314, 0270, 0000-003251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTA324839OtherVALUE OPTIONS
CT4553929OtherAETNA
CT201366OtherMANAGED HEALTH NETWORK
CTCTGA000477OtherSTATE ADMIN. GENERAL ASST