Provider Demographics
NPI:1639949308
Name:NEW HORIZON YOUTH HOMES, INC
Entity Type:Organization
Organization Name:NEW HORIZON YOUTH HOMES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NEW
Authorized Official - Middle Name:HORIZON COMMUNITY
Authorized Official - Last Name:CARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-722-2730
Mailing Address - Street 1:PO BOX 2754
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85244-2754
Mailing Address - Country:US
Mailing Address - Phone:480-722-2730
Mailing Address - Fax:480-664-4296
Practice Address - Street 1:2510 N TREKELL RD
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-1007
Practice Address - Country:US
Practice Address - Phone:480-722-2730
Practice Address - Fax:480-664-4296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health