Provider Demographics
NPI:1952566861
Name:NEW DIRECTIONS YOUTH SERVICES, INC.
Entity Type:Organization
Organization Name:NEW DIRECTIONS YOUTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:LITTLEFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-563-5715
Mailing Address - Street 1:PO BOX 1039
Mailing Address - Street 2:
Mailing Address - City:ANACONDA
Mailing Address - State:MT
Mailing Address - Zip Code:59711-1039
Mailing Address - Country:US
Mailing Address - Phone:406-563-5715
Mailing Address - Fax:406-563-5765
Practice Address - Street 1:502 CHERRY ST
Practice Address - Street 2:
Practice Address - City:ANACONDA
Practice Address - State:MT
Practice Address - Zip Code:59711-3042
Practice Address - Country:US
Practice Address - Phone:406-563-5715
Practice Address - Fax:406-563-5765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-21
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0190757Medicaid