Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Intellectual & Developmental Disabilities |
103TM1800X | 62 | Psychologist, Clinical |
| NPI # | 1437634482 |
| LBN Legal business name | NEW HORIZONS: SERVING INDIVIDUALS WITH SPECIAL NEEDS |
| Authorized official | ROCHELL ASHLEY - (CHIEF OPERATING OFFICER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/26/2018 |
| Last updated | 09/26/2018 - About 8 years ago |
| Identifiers | n/a |
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