Organization
NEW DIRECTIONS NORTHWEST INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIA RALYNN GIBBS (PEER SUPPORT SPECIALIST)
(541) 523-3646
Entity
Organization
Contact information
Practice address
2200 4TH ST, BAKER CITY, OR 97814-2615
(541) 523-3646
(541) 523-7602
Mailing address
2200 4TH ST, BAKER CITY, OR 97814-2615
(541) 523-3646
(541) 523-7602
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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