Organization
NEW HORIZONS RESIDENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES PENIX (OWNER)
(925) 470-9032
Entity
Organization
Contact information
Practice address
6318 W MIAMI ST, PHOENIX, AZ 85043-1935
(925) 470-9032
Mailing address
6318 W MIAMI ST, PHOENIX, AZ 85043-1935
(925) 470-9032
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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