Healthcare Provider Details

I. General information

NPI: 1588995567
Provider Name (Legal Business Name): NEW HORIZON YOUTH & FAMILY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2010
Last Update Date: 07/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 W 33RD ST SUITE B
EDMOND OK
73013-3835
US

IV. Provider business mailing address

1717 W 33RD ST SUITE B
EDMOND OK
73013-3863
US

V. Phone/Fax

Practice location:
  • Phone: 405-216-5608
  • Fax:
Mailing address:
  • Phone: 405-216-5608
  • Fax:

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: MS. KAREN YOUNG
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 405-216-5608