Provider Demographics
NPI:1598085912
Name:A NEW DIRECTION YOUTH AND ADULT SERVICES, LLC
Entity Type:Organization
Organization Name:A NEW DIRECTION YOUTH AND ADULT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-475-6062
Mailing Address - Street 1:502 CROSSVIEW LN
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-6727
Mailing Address - Country:US
Mailing Address - Phone:919-475-6062
Mailing Address - Fax:
Practice Address - Street 1:502 CROSSVIEW LN
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-6727
Practice Address - Country:US
Practice Address - Phone:919-475-6062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health