Provider Demographics
NPI:1174050959
Name:NEW HORIZONS THERAPY GROUP
Entity type:Organization
Organization Name:NEW HORIZONS THERAPY GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:WILLHITE
Authorized Official - Last Name:YORK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:909-989-0901
Mailing Address - Street 1:10630 TOWN CENTER DR STE 120
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-6889
Mailing Address - Country:US
Mailing Address - Phone:909-989-0901
Mailing Address - Fax:909-941-1087
Practice Address - Street 1:10630 TOWN CENTER DR STE 120
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-6889
Practice Address - Country:US
Practice Address - Phone:909-989-0901
Practice Address - Fax:909-941-1087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS20316101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty