MEDICARE: NEW HORIZON YOUTH & FAMILY SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1154518330
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HORIZON YOUTH & FAMILY SERVICES, LLC

Provider Business Mailing Address
First Line	:	720 W WILSHIRE BLVD STE 104
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-7737
Country	:	US
Telephone Number	:	405-463-0966
Fax Number	:	405-463-0967

Provider Business Practice Location Address
First Line	:	720 W WILSHIRE BLVD STE 104
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73116-7737
Country	:	US
Telephone Number	:	405-463-0966
Fax Number	:	405-463-0967

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. KAREN KAY YOUNG
Credential	:	MHR
Telephone Number	:	405-463-0966

Provider Enumeration Date	:	10/01/2007
Last Update Date	:	10/01/2007

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