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General NPI Number Information
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NPI Number | 1972319499
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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 | 12/09/2024
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 2603 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 |
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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 |
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Fax |
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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 | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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