Healthcare Provider Details

I. General information

NPI: 1174769723
Provider Name (Legal Business Name): NEW HORIZON FOUNDATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2009
Last Update Date: 01/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3315 HIGHWAY 19 NORTH
TRENTON SC
29847
US

IV. Provider business mailing address

567 CROFT MILL RD
AIKEN SC
29801-9023
US

V. Phone/Fax

Practice location:
  • Phone: 803-221-1023
  • Fax: 803-275-5037
Mailing address:
  • Phone: 803-221-1023
  • Fax: 803-275-5037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM ROBERT CUE
Title or Position: BOARD CHAIRMAN
Credential: BA
Phone: 803-221-1023