Provider Demographics
NPI:1710227533
Name:NEW DIRECTIONS GEORGIA, INC
Entity Type:Organization
Organization Name:NEW DIRECTIONS GEORGIA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED AGENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:O'CONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-229-9922
Mailing Address - Street 1:4545 SUWANEE DAM RD
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-1927
Mailing Address - Country:US
Mailing Address - Phone:678-926-3297
Mailing Address - Fax:866-231-6432
Practice Address - Street 1:4545 SUWANEE DAM RD
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-1927
Practice Address - Country:US
Practice Address - Phone:678-926-3297
Practice Address - Fax:866-231-6432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-15
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services