Healthcare Provider Details

I. General information

NPI: 1881885523
Provider Name (Legal Business Name): NEW DIRECTION CENTERS OF AMERICA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2007
Last Update Date: 08/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29501 KICKAPOO ROAD MBCC
MCLOUD OK
74851-1131
US

IV. Provider business mailing address

309 E MAIN ST
NORMAN OK
73069-1306
US

V. Phone/Fax

Practice location:
  • Phone: 405-364-9400
  • Fax: 405-364-9407
Mailing address:
  • Phone: 405-364-9400
  • Fax: 405-364-9407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. RONNIE MARVIN ALEXANDER
Title or Position: MANAGER/OWNER
Credential:
Phone: 405-364-7400