Healthcare Provider Details
I. General information
NPI: 1326080904
Provider Name (Legal Business Name): DARLIN INC DBA HORIZON SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/11/2006
Last Update Date: 03/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
151 S WALNUT ST SUITE A-1
LAS CRUCES NM
88001-2605
US
IV. Provider business mailing address
151 S WALNUT ST SUITE A-1
LAS CRUCES NM
88001-2605
US
V. Phone/Fax
- Phone: 575-527-5770
- Fax: 575-532-1928
- Phone: 575-527-5770
- Fax: 575-532-1928
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
LINDA
KEMP
Title or Position: DIRECTOR
Credential:
Phone: 575-527-5770