Organization
HORIZON HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBBECCA ZILLMER (MANAGER)
(414) 301-6384
Entity
Organization
Contact information
Practice address
4650 S HOWELL AVE, MILWAUKEE, WI 53207-5908
(414) 376-5577
(414) 762-9927
Mailing address
217 WISCONSIN AVE STE 204, WAUKESHA, WI 53186-4946
(414) 301-6384
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100030905
—
WI
05
—
100031478
—
WI
05
—
42215200
—
WI
Enumeration date
07/27/2006
Last updated
08/11/2023
Update your record
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