Organization
HORIZON HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN MATAVKA (VICE PRESIDENT)
(262) 641-9050
Entity
Organization
Contact information
Practice address
101 E. PIER STREET, PORT WASHINGTON, WI 53074-2242
(262) 284-3117
(262) 284-3087
Mailing address
285 N JANACEK RD, BROOKFIELD, WI 53045-6102
(262) 641-9050
(262) 641-9126
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42226900
—
WI
Enumeration date
07/27/2006
Last updated
02/19/2013
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