Organization
NEW HORIZONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GALE M DEAN (EXECUTIVE DIRECTER)
(318) 671-8131
Entity
Organization
Contact information
Practice address
2406 FERRAND STREET, SUITE 18, MONROE, LA 71201
(318) 323-1661
(318) 323-5445
Mailing address
2406 FERRAND ST, SUITE 18, MONROE, LA 71201-3235
(318) 323-1661
(318) 323-5445
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
PCA10803
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1196331
—
LA
05
—
1198960
—
LA
Enumeration date
07/03/2007
Last updated
08/22/2020
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