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Organization

NEW HORIZONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GALE M DEAN (EXECUTIVE DRIECTOR)
(318) 671-8131
Entity
Organization

Contact information

Practice address
3400 JACKSON STREET, SUITE A, ALEXANDRIA, LA 71301
(888) 361-3596
(318) 484-3640
Mailing address
3400 JACKSO STREET, SUITE A, ALEXANDRIA, LA 71301
(888) 361-3596
(318) 484-3640

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
PCA10802
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1196622
LA
05
1300730
LA
Enumeration date
07/03/2007
Last updated
08/22/2020
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