Organization
NEW HORIZONS GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DONNA D. BLACK RN (ADMINISTRATOR)
(910) 574-7239
Entity
Organization
Contact information
Practice address
3117 DYKE ST, FAYETTEVILLE, NC 28306-2808
(910) 339-4410
Mailing address
2433 GRAY GOOSE LOOP, FAYETTEVILLE, NC 28306-7796
(910) 574-7239
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-026-911
NC
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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