Provider Demographics
NPI:1083710941
Name:NEW HORIZONS BEHAVIORAL HEALTH SERVICES
Entity Type:Organization
Organization Name:NEW HORIZONS BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BHJ-CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:NEVIN
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:BHI, COUNSELING, CLI
Authorized Official - Phone:520-406-3261
Mailing Address - Street 1:6871 E NELSON DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85730-1663
Mailing Address - Country:US
Mailing Address - Phone:520-747-9443
Mailing Address - Fax:520-745-2925
Practice Address - Street 1:6871 E NELSON DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85730-1663
Practice Address - Country:US
Practice Address - Phone:520-747-9443
Practice Address - Fax:520-745-2925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBLD2151320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
721375OtherABCCSS