| New Horizons Family Resource Center, Llc | |
|
1 Windsor Cv Ste 404 Columbia SC 29223-1833 | |
| (803) 900-4849 | |
| (888) 350-9919 |
| Full Name | New Horizons Family Resource Center, Llc |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 1 Windsor Cv Ste 404, Columbia, South Carolina |
| Authorized Official Name and Position | Lorraine Tavarez Lopez (OWNER) |
| Authorized Official Contact | 8039004849 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Horizons Family Resource Center, Llc 1057 Oakland Dr Elgin SC 29045-9279 Ph: () - | New Horizons Family Resource Center, Llc 1 Windsor Cv Ste 404 Columbia SC 29223-1833 Ph: (803) 900-4849 |
| NPI Number | 1649778036 |
|---|---|
| Provider Enumeration Date | 01/31/2018 |
| Last Update Date | 06/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649778036 | NPI | - | NPPES |
| LP1011 | Medicaid | SC |
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