Provider Demographics
NPI:1548493125
Name:NEW DIRECTIONS COMMUNITY OUTREACH SERVICES LLC
Entity type:Organization
Organization Name:NEW DIRECTIONS COMMUNITY OUTREACH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:COREY
Authorized Official - Middle Name:
Authorized Official - Last Name:GILPIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-447-8424
Mailing Address - Street 1:3117 W CLAY ST
Mailing Address - Street 2:SUITE 2, 3, 4 AND 5
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-4731
Mailing Address - Country:US
Mailing Address - Phone:804-447-8419
Mailing Address - Fax:804-447-8424
Practice Address - Street 1:3117 W CLAY ST
Practice Address - Street 2:SUITE 2, 3, 4 AND 5
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-4731
Practice Address - Country:US
Practice Address - Phone:804-447-8419
Practice Address - Fax:804-447-8424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-28
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1313-05-001251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services