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NPI 1700955812

NPI 1700955812 : NEW DIRECTIONS FOR WOMEN INC. : COSTA MESA, CA

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General NPI Number Information
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    NPI Number           |    1700955812
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW DIRECTIONS FOR WOMEN INC. 
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Dates
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    Enumeration Date     |    11/06/2006
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    Last Update Date     |    07/15/2025
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Provider Practice Location Address
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    Address Line         |    2607 WILLO LN 
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    City                 |    COSTA MESA
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    State                |    CA
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    Zip                  |    92627-4645
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    Country              |    US
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    Telephone            |    949-548-5546
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    Fax                  |    949-574-8977
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Provider Business Mailing Address
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    Address Line         |    2607 WILLO LN 
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    City                 |    COSTA MESA
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    State                |    CA
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    Zip                  |    92627-4645
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    Country              |    US
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    Telephone            |    949-548-5546
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    Fax                  |    949-574-8977
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     HEATHER  BLACK-COYNE 
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    Credential           |    
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    Telephone            |    800-939-6636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    324500000X
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    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
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    License Number       |    30007GN
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    License Number State |    CA
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