Provider Demographics
NPI:1730628306
Name:UNICORN THERAPEUTIC HORSEBACK RIDING
Entity type:Organization
Organization Name:UNICORN THERAPEUTIC HORSEBACK RIDING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:HURLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-354-2014
Mailing Address - Street 1:171 MARSHALL CORNER WOODSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-3703
Mailing Address - Country:US
Mailing Address - Phone:609-354-2014
Mailing Address - Fax:
Practice Address - Street 1:171 MARSHALL CORNER WOODSVILLE RD
Practice Address - Street 2:
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-3703
Practice Address - Country:US
Practice Address - Phone:609-354-2014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-16
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251V00000XAgenciesVoluntary or CharitableGroup - Single Specialty
No405300000XOther Service ProvidersPrevention ProfessionalGroup - Single Specialty