Provider Demographics
NPI:1427565985
Name:NEW HORIZONS MENTAL WELLNESS CLINICS
Entity Type:Organization
Organization Name:NEW HORIZONS MENTAL WELLNESS CLINICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:
Authorized Official - First Name:KRISTA
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-244-6437
Mailing Address - Street 1:PO BOX 4789
Mailing Address - Street 2:
Mailing Address - City:POCATELLO
Mailing Address - State:ID
Mailing Address - Zip Code:83205-4789
Mailing Address - Country:US
Mailing Address - Phone:208-233-2025
Mailing Address - Fax:208-233-2178
Practice Address - Street 1:1729 MILLER AVE
Practice Address - Street 2:
Practice Address - City:BURLEY
Practice Address - State:ID
Practice Address - Zip Code:83318-2338
Practice Address - Country:US
Practice Address - Phone:208-233-2025
Practice Address - Fax:208-233-2178
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW HORIZONS MENTAL WELLNESS CLINICS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-01-05
Last Update Date:2018-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health