Organization
NEW DIRECTION MINISTRIES, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUETTA HARRISON BULLOCK MBA, HIA (EXECUTIVE DIRECTR)
(252) 430-1681
Entity
Organization
Contact information
Practice address
825 THOMAS RD, HENDERSON, NC 27537-8970
(252) 430-3742
Mailing address
PO BOX 2581, HENDERSON, NC 27536-6581
(252) 430-1680
(252) 430-1681
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/10/2010
Last updated
03/31/2011
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