Provider Demographics
NPI:1932288701
Name:HORIZON HEALTH SERVICES
Entity Type:Organization
Organization Name:HORIZON HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADDICTION/COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:HORACE
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:CASAC-T
Authorized Official - Phone:716-831-1977
Mailing Address - Street 1:305 ROTHER AVE
Mailing Address - Street 2:APT #2
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14211-3262
Mailing Address - Country:US
Mailing Address - Phone:716-894-4734
Mailing Address - Fax:716-937-3088
Practice Address - Street 1:699 HERTEL AVE
Practice Address - Street 2:SUITE 350
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14207-2341
Practice Address - Country:US
Practice Address - Phone:716-831-1977
Practice Address - Fax:716-937-3088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)