Healthcare Provider Details

I. General information

NPI: 1447451604
Provider Name (Legal Business Name): NEW DIRECTIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2710 DAISY AVE
CLEVELAND OH
44109
US

IV. Provider business mailing address

30800 CHAGRIN BLVD
CLEVELAND OH
44124-5925
US

V. Phone/Fax

Practice location:
  • Phone: 216-591-0324
  • Fax: 216-591-1243
Mailing address:
  • Phone: 216-591-0324
  • Fax: 216-591-1243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL MATONEY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 216-591-0324