Organization Name: | NEW HORIZON THERAPEUTIC CARE, LLC |
NPI Number: | 1346555182 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIM M URWILER (DIRECTOR OF OPERATIONS) |
Mailing Address: | 41105 W Coltin Way Maricopa |
State: | AZ US |
Postal Code: | 851386865 |
Phone Number: | 4804402090 |
Fax Number: | 4802379717 |
NPI Enumeration Date: | 08/17/2010 |
NPI Last Update Date: | 08/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320900000X |
License Number: | BH3675 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |