| New Horizons Specialty Care Services Llc | |
|
20960 Kelly Rd Suite B Eastpointe MI 48021-3137 | |
| (586) 585-1955 | |
| (586) 585-1963 |
| Full Name | New Horizons Specialty Care Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 20960 Kelly Rd, Eastpointe, Michigan |
| Authorized Official Name and Position | Kim M Tocco (NURSE PRACTIONER/OWNER) |
| Authorized Official Contact | 5865851955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Horizons Specialty Care Services Llc 20960 Kelly Rd Suite B Eastpointe MI 48021-3137 Ph: (586) 585-1955 | New Horizons Specialty Care Services Llc 20960 Kelly Rd Suite B Eastpointe MI 48021-3137 Ph: (586) 585-1955 |
| NPI Number | 1215172515 |
|---|---|
| Provider Enumeration Date | 12/16/2008 |
| Last Update Date | 12/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215172515 | NPI | - | NPPES |
| 5008667780 | Other | MI | BCBS OF MICHIGAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 4704177587 (Michigan) | Primary |
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