Provider Demographics
NPI:1356058812
Name:A NEW HORIZON
Entity type:Organization
Organization Name:A NEW HORIZON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAULL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-319-3350
Mailing Address - Street 1:3001 AARON DR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23323-2801
Mailing Address - Country:US
Mailing Address - Phone:757-994-6278
Mailing Address - Fax:
Practice Address - Street 1:3001 AARON DR
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23323-2801
Practice Address - Country:US
Practice Address - Phone:757-994-6278
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services