Provider Demographics
NPI:1679725378
Name:NEW DIRECTIONS COMMUNITY MENTAL HEALTH CENTER
Entity Type:Organization
Organization Name:NEW DIRECTIONS COMMUNITY MENTAL HEALTH CENTER
Other - Org Name:NONE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUZ
Authorized Official - Middle Name:Y
Authorized Official - Last Name:ROSARIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-247-4009
Mailing Address - Street 1:28870 SOUTH DIXIE HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-2405
Mailing Address - Country:US
Mailing Address - Phone:305-247-4009
Mailing Address - Fax:305-247-2209
Practice Address - Street 1:28870 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-2405
Practice Address - Country:US
Practice Address - Phone:305-247-4009
Practice Address - Fax:305-247-2209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-14
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services