# NEW HORIZONS YOUTH MINISTRIES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477885432
- **Authorized official:** MR. TIMOTHY G BLOSSOM (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (765) 668-4009

## Contact information

- **Practice address:** 1002 S 350 E, MARION, IN 46953-9559
- **Practice address phone:** (765) 668-4009
- **Practice address fax:** (765) 662-1407
- **Mailing address:** 1002 S 350 E, MARION, IN 46953-9559
- **Mailing address phone:** (765) 668-4009
- **Mailing address fax:** (765) 662-1407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 39001934A | IN | — |
| 104100000X | Social Worker | 33001688A | IN | — |
| 1041C0700X | Clinical Social Worker | 34002547A | IN | — |
| 106H00000X | Marriage & Family Therapist | 35000968A | IN | — |
| 106H00000X | Marriage & Family Therapist | 35001283A | IN | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 15546093333447 | IN | Yes |

## Other

- **Enumeration date:** 02/02/2010
- **Last updated:** 02/02/2010