Organization
NEW DIRECTION FUNCTIONAL PSYCHIATRY
Active
Organization
NEW DIRECTION FUNCTIONAL PSYCHIATRY
Active
Other names
NEW DIRECTION FUNCTIONAL PSYCHIATRY CLINIC 1
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH GATUMU MD (OWNER)
(724) 599-5901
Entity
Organization
Contact information
Practice address
4103 S MAIN ST STE 120, STAFFORD, TX 77477-5305
(724) 599-5901
(877) 774-5688
Mailing address
4103 S MAIN ST STE 120, STAFFORD, TX 77477-5305
(724) 599-5901
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750489845
—
PA
Enumeration date
02/22/2021
Last updated
07/06/2021
Update your record
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