Provider Demographics
NPI:1144522806
Name:NEW HORIZON RECOVERY
Entity type:Organization
Organization Name:NEW HORIZON RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:COFFELT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-635-7559
Mailing Address - Street 1:417 SANDALWOOD CT
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-5840
Mailing Address - Country:US
Mailing Address - Phone:760-635-7559
Mailing Address - Fax:
Practice Address - Street 1:417 SANDALWOOD CT
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-5840
Practice Address - Country:US
Practice Address - Phone:760-635-7559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-30
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility