NPI 1164641601

New Horizons Group Home

Organisation Mental Illness Intermediate Care Facility Fayetteville, NC

Practice location

Address: 3319 Auburn Dr, Fayetteville, NC 28306-9353
Phone: (910) 425-5725
Mailing address: 2433 Gray Goose Loop, Fayetteville, NC 28306-7796

Authorised official

Name: Donna D. P. Black
Title: Chief Executive Officer
Phone: (910) 574-7239

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X Licence MHL-026-835 (NC)

Other Intermediate Care Facility, Mental Illness providers in North Carolina →

Registry record

NPI: 1164641601
Entity type: Organization
NPI issued: 24 Apr 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.