Organization
NEW HORIZONS SPECIALTY CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM M TOCCO N.P. (NURSE PRACTIONER/OWNER)
(586) 585-1955
Entity
Organization
Contact information
Practice address
20960 KELLY RD, SUITE B, EASTPOINTE, MI 48021-3137
(586) 585-1955
(586) 585-1963
Mailing address
20960 KELLY RD, SUITE B, EASTPOINTE, MI 48021-3137
(586) 585-1955
(586) 585-1963
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4704177587
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5008667780
BCBS OF MICHIGAN
MI
Enumeration date
12/16/2008
Last updated
12/22/2008
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