| NPI | 1770741803 |
|---|---|
| Former Legal Business Name | HARBOR BEHAVIORAL HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | DUSTIN WATKINS CEO 567-343-0947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: OH 240) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2023-12-06 |