Provider Demographics
NPI:1124154224
Name:NEW HORIZONS RANCH AND CENTER, INC.
Entity type:Organization
Organization Name:NEW HORIZONS RANCH AND CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOE
Authorized Official - Last Name:REDDEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCCA
Authorized Official - Phone:325-437-1852
Mailing Address - Street 1:147 SAYLES BLVD
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79605-2001
Mailing Address - Country:US
Mailing Address - Phone:325-437-1852
Mailing Address - Fax:325-437-1855
Practice Address - Street 1:147 SAYLES BLVD
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79605-2001
Practice Address - Country:US
Practice Address - Phone:325-437-1852
Practice Address - Fax:325-437-1855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed ChildrenGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
No253J00000XAgenciesFoster Care Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX391194301Medicaid
TX171418001Medicaid
TX392679201Medicaid