=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144183955
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HORIZON HEALING CENTER LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/08/2025
-----------------------------------------------------
Last Update Date | 12/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 107 MONMOUTH RD STE 109-112
-----------------------------------------------------
City | WEST LONG BRANCH
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07764-1000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 866-290-2433
-----------------------------------------------------
Fax | 772-873-9997
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 107 MONMOUTH RD STE 109-112
-----------------------------------------------------
City | WEST LONG BRANCH
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07764-1000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 866-290-2433
-----------------------------------------------------
Fax | 772-873-9997
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | KEITH TORO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 908-458-5923
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0850X
-----------------------------------------------------
Taxonomy Name | Adult Mental Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------