Provider Demographics
NPI:1477713089
Name:HORIZON HUMAN SERVICES
Entity Type:Organization
Organization Name:HORIZON HUMAN SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC RN
Authorized Official - Prefix:MS
Authorized Official - First Name:MONET
Authorized Official - Middle Name:DARCELL
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:716-897-0826
Mailing Address - Street 1:391 DOAT ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14211-2147
Mailing Address - Country:US
Mailing Address - Phone:716-897-0826
Mailing Address - Fax:
Practice Address - Street 1:3020 BAILEY AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-2814
Practice Address - Country:US
Practice Address - Phone:716-831-1800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center