Provider Demographics
NPI:1669607164
Name:BEYOND THE HORIZON LLC
Entity type:Organization
Organization Name:BEYOND THE HORIZON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE BUSINESS DIRECTOR/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAI
Authorized Official - Middle Name:KIMANA
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:BS AP
Authorized Official - Phone:704-206-9592
Mailing Address - Street 1:3717 OAKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-1233
Mailing Address - Country:US
Mailing Address - Phone:704-206-9592
Mailing Address - Fax:704-383-8860
Practice Address - Street 1:707 S COX ST
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-6461
Practice Address - Country:US
Practice Address - Phone:336-625-3335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-28
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health