Provider Demographics
NPI:1841404852
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:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADRIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRANADO
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 1:467 EAST DRAGON SPRINGS DR
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85222
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:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH-2863322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children