Provider Demographics
NPI:1619212313
Name:NEW VISION SERVICES INC
Entity Type:Organization
Organization Name:NEW VISION SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FORDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-405-9363
Mailing Address - Street 1:PO BOX 358
Mailing Address - Street 2:
Mailing Address - City:REEDERS
Mailing Address - State:PA
Mailing Address - Zip Code:18352-0358
Mailing Address - Country:US
Mailing Address - Phone:917-405-9363
Mailing Address - Fax:877-453-3687
Practice Address - Street 1:2253 3RD AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-2206
Practice Address - Country:US
Practice Address - Phone:917-405-9363
Practice Address - Fax:877-453-3687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-06
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness