| New Horizons Community Support Services, Inc | |
|
2013 Williams St Jefferson City MO 65109-4771 | |
| (573) 636-8108 | |
| (573) 635-9892 |
| Full Name | New Horizons Community Support Services, Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2013 Williams St, Jefferson City, Missouri |
| Authorized Official Name and Position | Chi L Cheung (PRESIDENT) |
| Authorized Official Contact | 5736368108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Horizons Community Support Services, Inc 2013 Williams St Jefferson City MO 65109-4771 Ph: (573) 636-8108 | New Horizons Community Support Services, Inc 2013 Williams St Jefferson City MO 65109-4771 Ph: (573) 636-8108 |
| NPI Number | 1225153745 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 08/25/2020 |
| Certification Date | 08/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225153745 | NPI | - | NPPES |
| 263295107 | Medicaid | MO | |
| 506173608 | Medicaid | MO | |
| 876173600 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 24568434 (Missouri) | Primary |
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