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Organization

NEW DIRECTION MINISTRIES, INCORPORATED

Active
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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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