| Organization Name: | NEW HORIZONS WELLNESS CENTER |
| NPI Number: | 1184621120 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK B ELLIS (PHYSICIAN) |
| Mailing Address: | 300 N Edwards St Enterprise |
| State: | AL US |
| Postal Code: | 363302508 |
| Phone Number: | 3343474343 |
| Fax Number: | 3343939611 |
| NPI Enumeration Date: | 07/06/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | DO463 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |