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General NPI Number Information
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NPI Number | 1770396384
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Entity Type | Organization
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Legal Business Name | HORIZONS BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 8101 FREEPORT BLVD UNIT D
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City | SACRAMENTO
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State | CA
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Zip | 95832-9703
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Country | US
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Telephone | 916-879-8921
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Fax |
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Provider Business Mailing Address
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Address Line | 9381 E STOCKTON BLVD STE 214
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City | ELK GROVE
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State | CA
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Zip | 95624-5070
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Country | US
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Telephone | 916-879-8921
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | ANDRE TRAYNHAM
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Credential |
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Telephone | 916-879-8921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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