Provider Demographics
NPI:1700843760
Name:NEW DIRECTION INSTITUTE, INC.
Entity Type:Organization
Organization Name:NEW DIRECTION INSTITUTE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:N
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-748-8444
Mailing Address - Street 1:1509 N STATE ROAD 7 STE G
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5731
Mailing Address - Country:US
Mailing Address - Phone:954-748-8444
Mailing Address - Fax:954-748-7595
Practice Address - Street 1:1509 N STATE ROAD 7 STE G
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5731
Practice Address - Country:US
Practice Address - Phone:954-748-8444
Practice Address - Fax:954-748-7595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-26
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL253811302Medicaid
FL675248901Medicaid
FL675248903Medicaid