Provider Demographics
NPI:1639688245
Name:HORIZON SERVICES, INC.
Entity Type:Organization
Organization Name:HORIZON SERVICES, INC.
Other - Org Name:HORIZON SOUTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMPLIANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELISEO
Authorized Official - Middle Name:
Authorized Official - Last Name:BECERRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-603-3915
Mailing Address - Street 1:PO BOX 4217
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94540-4217
Mailing Address - Country:US
Mailing Address - Phone:510-582-2100
Mailing Address - Fax:510-582-1221
Practice Address - Street 1:650 S BASCOM AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2601
Practice Address - Country:US
Practice Address - Phone:408-283-8555
Practice Address - Fax:408-295-8544
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:1528136173
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-26
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility