Provider Demographics
NPI:1710045067
Name:ELLIOTT&JOYCE LANGSTON
Entity Type:Organization
Organization Name:ELLIOTT&JOYCE LANGSTON
Other - Org Name:NEW HORIZONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ELLIOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGSTON
Authorized Official - Suffix:
Authorized Official - Credentials:GENERAL PARTNER
Authorized Official - Phone:817-283-0794
Mailing Address - Street 1:10401 LAKE TER
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76053-7836
Mailing Address - Country:US
Mailing Address - Phone:817-283-0794
Mailing Address - Fax:817-590-8305
Practice Address - Street 1:10401 LAKE TER
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76053-7836
Practice Address - Country:US
Practice Address - Phone:817-283-0794
Practice Address - Fax:817-590-8305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities