Provider Demographics
NPI:1326344409
Name:HORIZON HEALTH SERVICES
Entity Type:Organization
Organization Name:HORIZON HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:WELLNESS COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BLY
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:716-731-2030
Mailing Address - Street 1:6301 INDUCON DRIVE EAST
Mailing Address - Street 2:
Mailing Address - City:SANBORN
Mailing Address - State:NY
Mailing Address - Zip Code:14132
Mailing Address - Country:US
Mailing Address - Phone:716-731-2030
Mailing Address - Fax:
Practice Address - Street 1:6301 INDUCON DRIVE EAST
Practice Address - Street 2:
Practice Address - City:SANBORN
Practice Address - State:NY
Practice Address - Zip Code:14132
Practice Address - Country:US
Practice Address - Phone:716-731-2030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-07
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility