| New Direction Behavioral Management, Inc | |
|
510 Ridgefield Dr Claremont CA 91711-2428 | |
| (909) 222-6644 | |
| Not Available |
| Full Name | New Direction Behavioral Management, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 510 Ridgefield Dr, Claremont, California |
| Authorized Official Name and Position | Pavel Demidov (PRESIDENT) |
| Authorized Official Contact | 9092226644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Direction Behavioral Management, Inc 300 S Mountain Ave # 1025 Upland CA 91786-7016 Ph: (909) 727-1817 | New Direction Behavioral Management, Inc 510 Ridgefield Dr Claremont CA 91711-2428 Ph: (909) 222-6644 |
| NPI Number | 1154189603 |
|---|---|
| Provider Enumeration Date | 03/11/2024 |
| Last Update Date | 05/25/2024 |
| Certification Date | 05/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154189603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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