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Organization

NEW HORIZONS NORTH, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL LANG (EXECUTIVE DIRECTOR)
(715) 682-7171
Entity
Organization

Contact information

Practice address
514 MAIN ST W, ASHLAND, WI 54806-1512
(715) 682-7171
(715) 682-7176
Mailing address
514 MAIN ST W, ASHLAND, WI 54806-1512
(715) 682-7171
(715) 682-7176

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
1061-800
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3055
WISCONSIN STATE CCS CERTIFICATION LICENSE
WI
Enumeration date
01/02/2015
Last updated
01/02/2015
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