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Organization
THE NEW DESTINY INC
Active
Organization
THE NEW DESTINY INC
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NII AHUMA OCANSEY (EXECUTIVE DIRECTOR)
(323) 304-0054
Entity
Organization
Contact information
Practice address
155 W WASHINGTON BLVD, SUITE 517, LOS ANGELES, CA 90015-3552
(323) 304-0054
(213) 749-1540
Mailing address
155 WEST WASHINGTON BLVD S, SUITE 517, LOS ANGELES, CA 90015-0000
(323) 304-0054
(213) 749-1540
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YA0400X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190451AN
PROVIDER NUMBER
CA
01
—
197131000
MEDI-CAL PIN
CA
Enumeration date
04/26/2007
Last updated
09/16/2008
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