Provider Demographics
NPI:1467595785
Name:NEW DIRECTIONS BEHAVIORAL HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:NEW DIRECTIONS BEHAVIORAL HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:ZIGUN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:414-444-2020
Mailing Address - Street 1:PO BOX 100193
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53210-0193
Mailing Address - Country:US
Mailing Address - Phone:414-444-2020
Mailing Address - Fax:414-444-0123
Practice Address - Street 1:5325 W BURLEIGH ST
Practice Address - Street 2:SUITE 250
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53210-1623
Practice Address - Country:US
Practice Address - Phone:414-444-2020
Practice Address - Fax:414-444-0123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)