Provider Demographics
NPI:1245659929
Name:NEW DIRECTIONS, INC.
Entity type:Organization
Organization Name:NEW DIRECTIONS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
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 2:11420 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 1:16000 LASSEN ST
Practice Address - Street 2:
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343
Practice Address - Country:US
Practice Address - Phone:818-920-3892
Practice Address - Fax:818-714-2161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-10
Last Update Date:2014-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1245659929Medicaid