Organization
NEW HORIZONS NORTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL LANG (EXECUTIVE DIRECTOR)
(715) 682-7171
Entity
Organization
Contact information
Practice address
324 W BAYFIELD ST, WASHBURN, WI 54891-1136
(715) 373-5505
(715) 373-2203
Mailing address
324 W BAYFIELD ST, WASHBURN, WI 54891-1136
(715) 373-5505
(715) 373-2203
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
1061-800
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3054
WISCONSIN STATE CCS CERTIFICATION LICENSE
WI
Enumeration date
12/31/2014
Last updated
12/31/2014
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