Provider Demographics
NPI:1912361627
Name:NEW HORIZONS COMMUNITY SUPPORT SERVICES, INC.
Entity Type:Organization
Organization Name:NEW HORIZONS COMMUNITY SUPPORT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-636-8108
Mailing Address - Street 1:2013 WILLIAM ST
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65109-4771
Mailing Address - Country:US
Mailing Address - Phone:573-636-8108
Mailing Address - Fax:573-635-9892
Practice Address - Street 1:2013 WILLIAM ST
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65109-4771
Practice Address - Country:US
Practice Address - Phone:573-636-8108
Practice Address - Fax:573-635-9892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-08
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health