Basic Information
Provider Information
NPI: 1366190795
EntityType: 2
ReplacementNPI:  
OrganizationName: HORIZONS MENTAL HEALTH CENTER, INC
LastName:  
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MiddleName:  
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Credential:  
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Mailing Information
Address1: 1600 N LORRAINE ST STE 202
Address2:  
City: HUTCHINSON
State: KS
PostalCode: 675015600
CountryCode: US
TelephoneNumber: 6206637595
FaxNumber: 6205135098
Practice Location
Address1: 1600 N LORRAINE ST STE 202
Address2:  
City: HUTCHINSON
State: KS
PostalCode: 675015600
CountryCode: US
TelephoneNumber: 6206637595
FaxNumber: 6205135098
Other Information
ProviderEnumerationDate: 03/15/2022
LastUpdateDate: 03/15/2022
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: FORAN
AuthorizedOfficialFirstName: THEDA
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: ACCOUNTING ASSISTANT
AuthorizedOfficialTelephone: 6208886301
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: HORIZONS MENTAL HEALTH CENTER, INC
AuthorizedOfficialNamePrefix:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 03/01/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251S00000X  Y AgenciesCommunity/Behavioral Health 

No ID Information.


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