Healthcare Provider Details

I. General information

NPI: 1053556365
Provider Name (Legal Business Name): NEW HORIZONS TREATMENT CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2008
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 CHATEAU CT SE
ROME GA
30161-7264
US

IV. Provider business mailing address

36 CHATEAU CT SE
ROME GA
30161-7264
US

V. Phone/Fax

Practice location:
  • Phone: 706-233-9603
  • Fax: 706-233-9526
Mailing address:
  • Phone: 706-233-9603
  • Fax: 706-233-9526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY COLEY HENDERSON
Title or Position: CEO
Credential:
Phone: 404-271-8768