Healthcare Provider Details

I. General information

NPI: 1801087770
Provider Name (Legal Business Name): NEW DIRECTION CENTERS OF AMERICA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2007
Last Update Date: 08/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 EAST MAIN
NORMAN OK
73069-1306
US

IV. Provider business mailing address

PO BOX 720147
NORMAN OK
73070-4114
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number261QR0405X
License Number StateOK

VIII. Authorized Official

Name: MR. RONNIE M ALEXANDER
Title or Position: PRESIDENT
Credential:
Phone: 405-408-0501