Provider Demographics
NPI:1073165296
Name:NORTHERN HORIZON BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:NORTHERN HORIZON BEHAVIORAL HEALTH
Other - Org Name:NORTHERN HORIZON BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-534-1967
Mailing Address - Street 1:138 E 4TH ST STE 8
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-5502
Mailing Address - Country:US
Mailing Address - Phone:970-619-1920
Mailing Address - Fax:
Practice Address - Street 1:109 N RUTHERFORD AVE
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:CO
Practice Address - Zip Code:80534-8639
Practice Address - Country:US
Practice Address - Phone:970-619-1920
Practice Address - Fax:970-449-7519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-09
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Multi-Specialty