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General NPI Number Information
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NPI Number | 1205641024
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Entity Type | Organization
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Legal Business Name | NEW HORIZON YOUTH HOMES, INC.
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 1643 FALCON DR
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City | DESOTO
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State | TX
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Zip | 75115-8806
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Country | US
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Telephone | 480-722-2730
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2754
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City | CHANDLER
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State | AZ
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Zip | 85244-2754
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Country | US
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Telephone | 480-722-2730
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. THOMAS B. GRANADO
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Credential | EDD LASAC
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Telephone | 480-722-2730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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