Provider Demographics
NPI:1366861270
Name:NEW DIRECTIONS, INC.
Entity Type:Organization
Organization Name:NEW DIRECTIONS, INC.
Other - Org Name:NDVETS OASIS FOR WOMEN
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:310-914-4045
Mailing Address - Street 1:PO BOX 25536
Mailing Address - Street 2:11420 SANTA MONICA BOULEVARD
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-0536
Mailing Address - Country:US
Mailing Address - Phone:310-914-4045
Mailing Address - Fax:310-914-5495
Practice Address - Street 1:12536 MITCHELL AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-4806
Practice Address - Country:US
Practice Address - Phone:310-398-0191
Practice Address - Fax:310-696-5616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-08
Last Update Date:2017-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA190209AN320800000X
CA190209BN324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1366861270Medicaid