Healthcare Provider Details

I. General information

NPI: 1528136173
Provider Name (Legal Business Name): HORIZON SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24051 AMADOR ST
HAYWARD CA
94544-1201
US

IV. Provider business mailing address

PO BOX 4217
HAYWARD CA
94540-4217
US

V. Phone/Fax

Practice location:
  • Phone: 510-582-2100
  • Fax: 510-582-1221
Mailing address:
  • Phone: 510-582-2100
  • Fax: 510-582-1221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MARK CLOUTIER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 510-582-2100