Provider Demographics
NPI:1770967226
Name:NEWHORIZON CENTER LLC
Entity type:Organization
Organization Name:NEWHORIZON CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AHED
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAYZAFOON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:269-775-1064
Mailing Address - Street 1:1379 S VILLAGE CIR
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-6117
Mailing Address - Country:US
Mailing Address - Phone:269-775-1064
Mailing Address - Fax:
Practice Address - Street 1:555 W CROSSTOWN PKWY
Practice Address - Street 2:SUITE 201
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49008-1999
Practice Address - Country:US
Practice Address - Phone:269-775-1064
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-15
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301095729207RA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction MedicineGroup - Single Specialty