Organization
NEW HORIZON LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEIONTAE NICHOLAS (OWNER/MANAGER)
(586) 265-4675
Entity
Organization
Contact information
Practice address
15087 WARD ST, DETROIT, MI 48227-4074
(586) 265-4675
Mailing address
11000 W MCNICHOLS RD STE 323, DETROIT, MI 48221-2393
(586) 265-4675
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
104100000X
Social Worker
—
—
146L00000X
Paramedic
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
227800000X
Certified Respiratory Therapist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
310400000X
Assisted Living Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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