Horizon Healthcare, Inc | |
4325 S 60th St Suite 3 Greenfield WI 53220-3508 | |
(414) 546-0467 | |
(414) 546-0678 |
Full Name | Horizon Healthcare, Inc |
---|---|
Speciality | Counselor - Mental Health |
Location | 4325 S 60th St, Greenfield, Wisconsin |
Authorized Official Name and Position | Darren Matavka (VICE PRESIDENT) |
Authorized Official Contact | 2626419050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Horizon Healthcare, Inc 285 N Janacek Rd Brookfield WI 53045-6102 Ph: (262) 641-9050 | Horizon Healthcare, Inc 4325 S 60th St Suite 3 Greenfield WI 53220-3508 Ph: (414) 546-0467 |
NPI Number | 1043234628 |
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Provider Enumeration Date | 07/27/2006 |
Last Update Date | 02/19/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043234628 | NPI | - | NPPES |
42211400 | Medicaid | WI | |
42160600 | Medicaid | WI | |
42211421 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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