Provider Demographics
NPI:1922661784
Name:GREATER HORIZONS, HOUSE INC.
Entity Type:Organization
Organization Name:GREATER HORIZONS, HOUSE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:POLITZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-569-6166
Mailing Address - Street 1:GREATER HORIZONS, HOME INC.
Mailing Address - Street 2:2665 NORTH ATLANTIC AVENUE #336
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32118
Mailing Address - Country:US
Mailing Address - Phone:212-569-6166
Mailing Address - Fax:
Practice Address - Street 1:25 INDIAN RD APT 6F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10034-1018
Practice Address - Country:US
Practice Address - Phone:646-523-3695
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-17
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness