| New Direction Youth And Family Services, Inc. | |
|
511 N Raleigh St Angier NC 27501-9121 | |
| (919) 639-0446 | |
| Not Available |
| Full Name | New Direction Youth And Family Services, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 511 N Raleigh St, Angier, North Carolina |
| Authorized Official Name and Position | Pamela Williams (OWNER/CHIEF EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9196390446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Direction Youth And Family Services, Inc. Po Box 704 Angier NC 27501-0704 Ph: (919) 639-0446 | New Direction Youth And Family Services, Inc. 511 N Raleigh St Angier NC 27501-9121 Ph: (919) 639-0446 |
| NPI Number | 1831524453 |
|---|---|
| Provider Enumeration Date | 09/13/2013 |
| Last Update Date | 10/23/2013 |
| Medicare PECOS PAC ID | 2163779919 |
|---|---|
| Medicare Enrollment ID | O20180725000187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831524453 | NPI | - | NPPES |
| Provider Name | Donald J Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942577200 PECOS PAC ID: 4284873704 Enrollment ID: I20130613000332 |
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