Healthcare Provider Details

I. General information

NPI: 1942785175
Provider Name (Legal Business Name): HORIZONS MENTAL HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2018
Last Update Date: 03/11/2022
Certification Date: 03/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E D AVE
KINGMAN KS
67068-1563
US

IV. Provider business mailing address

1600 N LORRAINE ST STE 202
HUTCHINSON KS
67501-5600
US

V. Phone/Fax

Practice location:
  • Phone: 620-532-3895
  • Fax: 620-532-3710
Mailing address:
  • Phone: 620-663-7595
  • Fax: 620-663-5263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MEKINZIE L HUDSON
Title or Position: CONTROLLER
Credential:
Phone: 620-694-1076