Halcyon Horizons, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

090018AN Issued in CA

Legal business name

HALCYON HORIZONS, INC.

Doing business as

Elevate Addiction Services

Practice address

262 Gaffey Road
Watsonville, CA 95076

Phone

(831) 768-7190

Fax

(831) 722-1613

NPI assigned

Jan 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Daniel M Manson, CADC-CS CA

Title

President

Phone

(831) 219-0005

Specialties & licenses 1

Addresses

Other names 1

• Elevate Addiction Services Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1932257383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1690",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "95001",
            "telephone_number": "831-768-7190",
            "fax_number": "831-722-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 GAFFEY ROAD",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "95076",
            "telephone_number": "831-768-7190",
            "fax_number": "831-722-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALCYON HORIZONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "MANSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-219-0005",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CADC-CS CA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "090018AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevate Addiction Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.