Provider Demographics
NPI:1336378769
Name:NEW ROADS
Entity type:Organization
Organization Name:NEW ROADS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, MBA
Authorized Official - Phone:801-792-9044
Mailing Address - Street 1:1270 W 1130 S
Mailing Address - Street 2:SUITE 145
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84058-3833
Mailing Address - Country:US
Mailing Address - Phone:801-792-9044
Mailing Address - Fax:
Practice Address - Street 1:1270 W 1130 S
Practice Address - Street 2:SUITE 145
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84058-3833
Practice Address - Country:US
Practice Address - Phone:801-792-9044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4925186-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty