Healthcare Provider Details

I. General information

NPI: 1730160250
Provider Name (Legal Business Name): NEW DIRECTIONS TREATMENT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2442 BRODHEAD RD
BETHLEHEM PA
18020-8910
US

IV. Provider business mailing address

2442 BRODHEAD RD
BETHLEHEM PA
18020-8910
US

V. Phone/Fax

Practice location:
  • Phone: 610-758-8011
  • Fax: 610-758-8013
Mailing address:
  • Phone: 610-758-8011
  • Fax: 610-758-8013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number487030
License Number StatePA

VIII. Authorized Official

Name: PATRICK STERNER
Title or Position: FINANCE DIRECTOR
Credential:
Phone: 610-758-8011