Provider Demographics
NPI:1558041129
Name:NEW HORIZONS, LLC
Entity Type:Organization
Organization Name:NEW HORIZONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:
Authorized Official - Last Name:ORDANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-444-4928
Mailing Address - Street 1:1209 MCDONALD AVE APT A
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59801-8562
Mailing Address - Country:US
Mailing Address - Phone:845-444-4928
Mailing Address - Fax:
Practice Address - Street 1:1209 MCDONALD AVE APT A
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-8562
Practice Address - Country:US
Practice Address - Phone:845-444-4928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-19
Last Update Date:2024-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Single Specialty