Healthcare Provider Details

I. General information

NPI: 1720723612
Provider Name (Legal Business Name): NEW HORIZONS STRUCTURED RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2022
Last Update Date: 05/04/2022
Certification Date: 05/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8630 N MIDDLEBELT RD
WESTLAND MI
48185-1813
US

IV. Provider business mailing address

8630 N MIDDLEBELT RD
WESTLAND MI
48185-1813
US

V. Phone/Fax

Practice location:
  • Phone: 734-560-6825
  • Fax:
Mailing address:
  • Phone: 734-560-6825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0800X
TaxonomyRecovery Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code276400000X
TaxonomySubstance Use Disorder Rehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: MRS. ASHLEY SAUNDERS
Title or Position: EXECUTIVE ADMINISTRATOR
Credential:
Phone: 734-560-6825