Provider Demographics
NPI:1730534405
Name:NEW HORIZONS BEHAVIORAL HEALTH SERVICES INC
Entity type:Organization
Organization Name:NEW HORIZONS BEHAVIORAL HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:NEVIN
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:BHT
Authorized Official - Phone:520-904-9573
Mailing Address - Street 1:5849 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-2403
Mailing Address - Country:US
Mailing Address - Phone:520-514-9092
Mailing Address - Fax:520-514-0590
Practice Address - Street 1:5849 E 5TH ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-2403
Practice Address - Country:US
Practice Address - Phone:520-514-9092
Practice Address - Fax:520-514-0590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-29
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH4890261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ721375OtherAHCCCS