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NPI Code Detail

MEDICARE: NEW HORIZONS CSB MIDTOWN RECOVERY

MEDICARE: NEW HORIZONS CSB MIDTOWN RECOVERY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487707766
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW HORIZONS CSB MIDTOWN RECOVERY
Provider Business Mailing Address
First Line : 2100 COMER AVE
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-8725
Country : US
Telephone Number : 706-596-5586
Fax Number : 706-596-5589
Provider Business Practice Location Address
First Line : 1727 BOXWOOD PL
Second Line :
City : COLUMBUS
State : GA
Zip : 31906-2328
Country : US
Telephone Number : 706-569-0727
Fax Number : 706-569-7324
Authorized Official
Title or Position : CEO
Name : PERRY ALEXANDER
Credential :
Telephone Number : 706-596-5582
Provider Enumeration Date : 01/19/2007
Last Update Date : 08/22/2020

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