Healthcare Provider Details

I. General information

NPI: 1437337599
Provider Name (Legal Business Name): HORIZONS UNLIMITED OF SAN FRANCISCO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2008
Last Update Date: 01/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 POTRERO AVE
SAN FRANCISCO CA
94110-1430
US

IV. Provider business mailing address

440 POTRERO AVE
SAN FRANCISCO CA
94110-1430
US

V. Phone/Fax

Practice location:
  • Phone: 415-487-6700
  • Fax: 415-487-6724
Mailing address:
  • Phone: 415-487-6700
  • Fax: 415-487-6724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number380059AN
License Number StateCA

VIII. Authorized Official

Name: MRS. NORA RIOS REDDICK
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 415-487-6717