Provider Demographics
NPI:1417495003
Name:HORIZON PSYCHIATRY, LLC
Entity Type:Organization
Organization Name:HORIZON PSYCHIATRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:ZINKEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-428-2288
Mailing Address - Street 1:21370 JOHN MILLESS DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:ROGERS
Mailing Address - State:MN
Mailing Address - Zip Code:55374-9449
Mailing Address - Country:US
Mailing Address - Phone:763-428-2288
Mailing Address - Fax:763-428-2132
Practice Address - Street 1:21370 JOHN MILLESS DR
Practice Address - Street 2:SUITE 210
Practice Address - City:ROGERS
Practice Address - State:MN
Practice Address - Zip Code:55374-9449
Practice Address - Country:US
Practice Address - Phone:763-428-2288
Practice Address - Fax:763-428-2132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-03
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health