Provider Demographics
NPI:1578717799
Name:HORIZONS COMMUNITY DEVELOPMENT, INC.
Entity Type:Organization
Organization Name:HORIZONS COMMUNITY DEVELOPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARON
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-414-8112
Mailing Address - Street 1:349 FAIRVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07050-2111
Mailing Address - Country:US
Mailing Address - Phone:973-414-8112
Mailing Address - Fax:973-414-8110
Practice Address - Street 1:580 CHRISTOPHER ST
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07050-1238
Practice Address - Country:US
Practice Address - Phone:973-414-8112
Practice Address - Fax:973-414-8110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-14
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2000066-08261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health