Provider Demographics
NPI:1821476433
Name:NEW DIRECTIONS BEHAVIORAL HEALTH AND WELLNESS
Entity Type:Organization
Organization Name:NEW DIRECTIONS BEHAVIORAL HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTAKE SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAHAUG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-523-4049
Mailing Address - Street 1:1765 VALLEY AVE
Mailing Address - Street 2:
Mailing Address - City:BAKER CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97814-2730
Mailing Address - Country:US
Mailing Address - Phone:208-914-3382
Mailing Address - Fax:
Practice Address - Street 1:1765 VALLEY AVE
Practice Address - Street 2:
Practice Address - City:BAKER CITY
Practice Address - State:OR
Practice Address - Zip Code:97814-2730
Practice Address - Country:US
Practice Address - Phone:208-914-3382
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-14
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)