Basic Information
| Provider Information | |||||||||
| NPI: | 1538388665 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NEW HORIZON CARE CENTER, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 4627 | ||||||||
| Address2: | |||||||||
| City: | SPOKANE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 992200627 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5096241244 | ||||||||
| FaxNumber: | 5096246240 | ||||||||
| Practice Location | |||||||||
| Address1: | 2317 W 3RD AVE | ||||||||
| Address2: | |||||||||
| City: | SPOKANE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 992041009 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5096241244 | ||||||||
| FaxNumber: | 5096246240 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/25/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | LOTZENHISER | ||||||||
| AuthorizedOfficialFirstName: | HAL | ||||||||
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| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 5096241244 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 324500000X | Y | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility |
ID Information
| ID | Type | State | Issuer | Description | 1990852 | 01 | WA | DSHS PROVIDER | OTHER |