Organization Name: | HORIZON HEALTHCARE, INC |
NPI Number: | 1013931625 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DARREN MATAVKA (VICE PRESIDENT) |
Mailing Address: | 101 E. Pier Street Port Washington |
State: | WI US |
Postal Code: | 530742242 |
Phone Number: | 2622843117 |
Fax Number: | 2622843087 |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 02/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |