Organization
MENTAL RETARDATION WAVIER PROGRAM
Active
Parent organization
NEW HORIZONS COMMUNITY SERVICE BOARD
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW HORIZONS COMMUNITY SERVICE BOARD
Authorized official
PERRY ALEXANDER (CEO)
(706) 596-5582
Entity
Organization
Contact information
Practice address
2100 COMER AVE., COLUMBUS, GA 31904
(706) 596-5583
(706) 596-5589
Mailing address
1325 SANDUSKY DR, COLUMBUS, GA 31907-3964
(706) 596-5544
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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