Organization Name: | GRAHAM NEW HORIZONS INC |
NPI Number: | 1700936507 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GERALDINE HORTON (SEC) |
Mailing Address: | 100 W Pollock St Ste 4 Mount Olive |
State: | NC US |
Postal Code: | 283652000 |
Phone Number: | 9196359222 |
Fax Number: | 9196359039 |
NPI Enumeration Date: | 01/12/2007 |
NPI Last Update Date: | 09/04/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0850X |
License Number: | MHL-096-164 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Mental Health |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |