Organization
NEW HORIZON COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IDRIS TALIB (PRESIDENT)
(704) 206-1270
Entity
Organization
Contact information
Practice address
800 BRIAR CREEK RD, SUITE DD-202, CHARLOTTE, NC 28205-6903
(704) 206-1270
(704) 665-5715
Mailing address
800 BRIAR CREEK RD, SUITE DD-202, CHARLOTTE, NC 28205-6903
(704) 206-1270
(704) 665-5715
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
C001341
NC
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/02/2011
Last updated
07/23/2012
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