Provider Demographics
NPI:1073656005
Name:NEW HORIZONS HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:NEW HORIZONS HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NURUL
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHOWDHURY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-483-0134
Mailing Address - Street 1:605 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4065
Mailing Address - Country:US
Mailing Address - Phone:301-483-0134
Mailing Address - Fax:301-483-0137
Practice Address - Street 1:605 MAIN ST
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4065
Practice Address - Country:US
Practice Address - Phone:301-483-0134
Practice Address - Fax:301-483-0137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD905328251S00000X
MD904327251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD404685400Medicaid