Provider Demographics
NPI:1871091637
Name:NEW DIRECTIONS INC.
Entity type:Organization
Organization Name:NEW DIRECTIONS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HEALTH SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROHR
Authorized Official - Suffix:
Authorized Official - Credentials:MD/LMFT
Authorized Official - Phone:310-914-4045
Mailing Address - Street 1:11303 WILSHIRE BLVD
Mailing Address - Street 2:VA BLDG 116
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90073-1003
Mailing Address - Country:US
Mailing Address - Phone:310-914-4045
Mailing Address - Fax:
Practice Address - Street 1:11303 WILSHIRE BLVD
Practice Address - Street 2:VA BLDG 116
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90073-1003
Practice Address - Country:US
Practice Address - Phone:310-914-4045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-26
Last Update Date:2018-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty