Organization
NEW HORIZONS GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DONNA D. P. BLACK R.N. (CHIEF EXECUTIVE OFFICER)
(910) 574-7239
Entity
Organization
Contact information
Practice address
3319 AUBURN DR, FAYETTEVILLE, NC 28306-9353
(910) 425-5725
Mailing address
2433 GRAY GOOSE LOOP, FAYETTEVILLE, NC 28306-7796
(910) 425-7424
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
MHL-026-835
NC
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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