Provider Demographics
NPI:1740434141
Name:HORIZON COMMUNITY & FAMILY SERVICES
Entity type:Organization
Organization Name:HORIZON COMMUNITY & FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEXTER
Authorized Official - Middle Name:LAMONT
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-865-8533
Mailing Address - Street 1:707 S AVON ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-0475
Mailing Address - Country:US
Mailing Address - Phone:704-865-8533
Mailing Address - Fax:704-865-8535
Practice Address - Street 1:707 S AVON ST
Practice Address - Street 2:SUITE A
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-0475
Practice Address - Country:US
Practice Address - Phone:704-865-8533
Practice Address - Fax:704-865-8535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization