Club Horizon, Inc.

LBN: Club Horizon, Inc.
Club Horizon, Inc. is an health care organization with primary practice located at 101B Forest Dr , Knightdale NC 27545-9603. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Club Horizon, Inc. can be contacted via phone (919) 266-2202, or through Gunter, Carliss Manay Gunter via phone (919) 266-2202.

Contact Information

Primary practice address
101B Forest Dr Knightdale NC 27545-9603
Phone: (919) 266-2202
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gunter, Carliss Manay Gunter MSW
Phone: (919) 266-2202

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X MHL 092613 North Carolina

Profile Details

NPI number 1871657346
LBN Legal business name Club Horizon, Inc.
DBA Doing business as
Authorized official Gunter, Carliss Manay Gunter MSW
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2006
Last updated Oct 21st, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871657346 NPPES
North Carolina MEDICAID 8301230B
North Carolina MEDICAID 8301230S

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