Organization
NEW DIRECTIONS BEHAVIORAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY HARGROVE JR. (PRESIDENT)
(973) 242-6599
Entity
Organization
Contact information
Practice address
9 LINCOLN PARK, NEWARK, NJ 07102-2301
(973) 242-6599
(973) 242-1976
Mailing address
9 LINCOLN PARK, NEWARK, NJ 07102-2301
(973) 242-6599
(973) 242-1976
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
100100105
NJ
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
23255
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019194
—
NJ
05
—
0156744
—
NJ
05
—
8702403
—
NJ
Enumeration date
05/10/2007
Last updated
08/04/2008
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