Provider Demographics
NPI:1770743130
Name:NEW HORIZONS RECOVERY CENTER
Entity type:Organization
Organization Name:NEW HORIZONS RECOVERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:R
Authorized Official - Last Name:STURGES
Authorized Official - Suffix:
Authorized Official - Credentials:BA CADC
Authorized Official - Phone:712-274-8071
Mailing Address - Street 1:705 DOUGLAS ST STE 315
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51101-1044
Mailing Address - Country:US
Mailing Address - Phone:712-274-8071
Mailing Address - Fax:712-202-0457
Practice Address - Street 1:705 DOUGLAS ST STE 315
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51101-1044
Practice Address - Country:US
Practice Address - Phone:712-274-8071
Practice Address - Fax:712-202-0457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA1218305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization