Organization
NEW HORIZON GROUP HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BARBARA BROCKINGTON (CEO)
(910) 536-3502
Entity
Organization
Contact information
Practice address
497 NORTHWOODS DR, RAEFORD, NC 28376-5820
(910) 536-3502
Mailing address
PO BOX 2452, LUMBERTON, NC 28359-2452
(910) 536-3502
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
MHL047091
NC
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL047091
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603928
—
NC
Enumeration date
02/15/2007
Last updated
03/10/2009
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