Provider Demographics
NPI:1346555182
Name:NEW HORIZON THERAPEUTIC CARE, LLC
Entity Type:Organization
Organization Name:NEW HORIZON THERAPEUTIC CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:M
Authorized Official - Last Name:URWILER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-440-2090
Mailing Address - Street 1:2040 S ALMA SCHOOL RD
Mailing Address - Street 2:1-233
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-7075
Mailing Address - Country:US
Mailing Address - Phone:480-440-2090
Mailing Address - Fax:480-237-9717
Practice Address - Street 1:41105 W COLTIN WAY
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85138-6865
Practice Address - Country:US
Practice Address - Phone:480-440-2090
Practice Address - Fax:480-237-9717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH-3675320800000X
AZBH3675320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities