Healthcare Provider Details

I. General information

NPI: 1952360620
Provider Name (Legal Business Name): NEW HORIZONS COMMUNITY MENTAL HEALTH CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2006
Last Update Date: 12/09/2019
Certification Date: 12/09/2019
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: 305-635-7444
  • Fax: 305-638-5507
Mailing address:
  • Phone: 305-635-0366
  • Fax: 305-635-6378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. DEBORAH H KORRAY
Title or Position: CHIEF INFORMATION OFFICER
Credential: MS
Phone: 305-635-0366