Provider Demographics
NPI:1790102903
Name:NEW DIRECTIONS, INC.
Entity Type:Organization
Organization Name:NEW DIRECTIONS, INC.
Other - Org Name:NDVETS VOC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:310-914-4045
Mailing Address - Street 1:PO BOX 25536
Mailing Address - Street 2:14420 SANTA MONICA BOULEVARD
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-0536
Mailing Address - Country:US
Mailing Address - Phone:310-914-4045
Mailing Address - Fax:310-914-5495
Practice Address - Street 1:11303 WILSHIRE BLVD
Practice Address - Street 2:VA BUILDING 116
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-5069
Practice Address - Country:US
Practice Address - Phone:310-914-4045
Practice Address - Fax:310-914-5495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-25
Last Update Date:2017-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
320800000X
CA190209AN324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1790102903Medicaid
CA1588083109Medicaid
CA1790102903Medicaid
CA1366861270Medicaid