| Horizons, A Family Service Alliance | |
|
819 5th St Se Cedar Rapids IA 52401-2128 | |
| (319) 398-3943 | |
| (888) 632-7914 |
| Full Name | Horizons, A Family Service Alliance |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 819 5th St Se, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Molly M. Gansen (OFFICE MANGER) |
| Authorized Official Contact | 3193983943 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizons, A Family Service Alliance 819 5th St Se Cedar Rapids IA 52401-2128 Ph: (319) 398-3943 | Horizons, A Family Service Alliance 819 5th St Se Cedar Rapids IA 52401-2128 Ph: (319) 398-3943 |
| NPI Number | 1033291265 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 09/14/2011 |
| Medicare PECOS PAC ID | 9436170321 |
|---|---|
| Medicare Enrollment ID | O20051207000403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033291265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Timothy A Griem |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689637696 PECOS PAC ID: 6002087939 Enrollment ID: I20110926000145 |
| Provider Name | Carrie Ann Kimpton Heald |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982039426 PECOS PAC ID: 6305071127 Enrollment ID: I20131104001091 |
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