Provider Demographics
NPI:1043685688
Name:NEW HORIZON CENTER FOR THE DEVELOPMENTALLY DISABLED
Entity type:Organization
Organization Name:NEW HORIZON CENTER FOR THE DEVELOPMENTALLY DISABLED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-286-6226
Mailing Address - Street 1:6737 W FOREST PRESERVE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634-1470
Mailing Address - Country:US
Mailing Address - Phone:773-286-6226
Mailing Address - Fax:773-286-7674
Practice Address - Street 1:6737 W FOREST PRESERVE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60634-1470
Practice Address - Country:US
Practice Address - Phone:773-286-6226
Practice Address - Fax:773-286-7674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-08
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services