Provider Demographics
NPI:1700910403
Name:HIGHER HORIZONS INC
Entity Type:Organization
Organization Name:HIGHER HORIZONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TONIA
Authorized Official - Middle Name:PATRICE
Authorized Official - Last Name:RATLIFFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-875-3200
Mailing Address - Street 1:229 AZALEASTREET
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-9019
Mailing Address - Country:US
Mailing Address - Phone:910-875-3200
Mailing Address - Fax:910-875-3200
Practice Address - Street 1:229 AZALEA STREET
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-9019
Practice Address - Country:US
Practice Address - Phone:910-875-3200
Practice Address - Fax:910-875-3200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-047-095320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7805459Medicaid