MEDICARE: HORIZON PSYCHIATRY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1528494028
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZON PSYCHIATRY, INC.

Provider Business Mailing Address
First Line	:	839 BESTGATE RD
Second Line	:	STE. 400
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-3472
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	839 BESTGATE RD
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-3472
Country	:	US
Telephone Number	:	443-889-3312
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MR. FRANCIS RAMIREZ
Credential	:
Telephone Number	:	443-889-3312

Provider Enumeration Date	:	09/17/2013
Last Update Date	:	02/24/2015

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