Provider Demographics
NPI:1013034867
Name:NEW HORIZONS
Entity Type:Organization
Organization Name:NEW HORIZONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNI
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:STRAUGHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-229-3375
Mailing Address - Street 1:PO BOX 189
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:WA
Mailing Address - Zip Code:99113-0189
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:811 FERGUSON STREET
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:WA
Practice Address - Zip Code:99113-0189
Practice Address - Country:US
Practice Address - Phone:509-229-3375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID002065100251B00000X
ID002065000251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management