Organization
HORIZON HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA LUM LBASW (DIRECTOR)
(313) 640-1965
Entity
Organization
Contact information
Practice address
5565 KENSINGTON AVE, DETROIT, MI 48224-2623
(313) 640-1965
(313) 640-1965
Mailing address
5565 KENSINGTON AVE, DETROIT, MI 48224-2623
(313) 640-1965
(313) 640-1965
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
466132
PROVIDER SERVICE NUMBER
MI
Enumeration date
10/23/2006
Last updated
08/22/2020
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