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NPI Code Detail

MEDICARE: COMMUNITY FOR NEW DIRECTION

MEDICARE: COMMUNITY FOR NEW DIRECTION
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
1251B00000XCase Management Agency251B00000XOH
2251S00000XCommunity/Behavioral Health Agency13316OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1101Y00000XOTHEROHSOCIAL WORK

General Provider Information

NPI Number : 1730230343
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY FOR NEW DIRECTION
Provider Business Mailing Address
First Line : 993 E MAIN ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2342
Country : US
Telephone Number : 614-272-1464
Fax Number : 855-908-2509
Provider Business Practice Location Address
First Line : 3901 E LIVINGSTON AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43227-2302
Country : US
Telephone Number : 614-252-4941
Fax Number : 855-908-2509
Authorized Official
Title or Position : INTERIM EXECUTIVE DIRECTOR
Name : MR. GREGORY A JEFFERSON
Credential : OCPS II LICDC
Telephone Number : 614-272-1464
Provider Enumeration Date : 01/12/2007
Last Update Date : 01/14/2025

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Directions to “COMMUNITY FOR NEW DIRECTION ” Practice Location

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