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NPI Code Detail

MEDICARE: NEW DIRECTIONS NORTHWEST, INC.

MEDICARE: NEW DIRECTIONS NORTHWEST, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1164783627
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW DIRECTIONS NORTHWEST, INC.
Provider Business Mailing Address
First Line : 2100 MAIN ST
Second Line :
City : BAKER CITY
State : OR
Zip : 97814-2655
Country : US
Telephone Number : 541-523-7400
Fax Number : 541-523-4927
Provider Business Practice Location Address
First Line : 3680 MIDWAY DR
Second Line :
City : BAKER CITY
State : OR
Zip : 97814-1466
Country : US
Telephone Number : 541-523-9320
Fax Number : 541-523-9406
Authorized Official
Title or Position : CEO
Name : MS. SHARI A SELANDER
Credential : MSW
Telephone Number : 541-523-7400
Provider Enumeration Date : 05/31/2012
Last Update Date : 06/05/2012

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Directions to “NEW DIRECTIONS NORTHWEST, INC. ” Practice Location

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