Healthcare Provider Details

I. General information

NPI: 1639392681
Provider Name (Legal Business Name): NEW HORIZONS COMMUNITY MENTAL HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1469 NW 36TH ST
MIAMI FL
33142-5557
US

IV. Provider business mailing address

1469 NW 36TH ST
MIAMI FL
33142-5557
US

V. Phone/Fax

Practice location:
  • Phone: 305-635-0366
  • Fax: 305-635-6378
Mailing address:
  • Phone: 305-635-0366
  • Fax: 305-635-6378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LUVERNICE CROSKEY
Title or Position: PHD
Credential:
Phone: 305-635-7444