Organization
COMMUNITY FOR NEW DIRECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY A JEFFERSON OCPS II LICDC (INTERIM EXECUTIVE DIRECTOR)
(614) 272-1464
Entity
Organization
Contact information
Practice address
3901 E LIVINGSTON AVE, COLUMBUS, OH 43227-2302
(614) 252-4941
(855) 908-2509
Mailing address
993 E MAIN ST, COLUMBUS, OH 43205-2342
(614) 272-1464
(855) 908-2509
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251B00000X
OH
251S00000X
Community/Behavioral Health Agency
Primary
13316
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101Y00000X
SOCIAL WORK
OH
Enumeration date
01/12/2007
Last updated
01/14/2025
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