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Organization
HARBOR
Active
Organization
HARBOR
Active
Other names
Harbor Behavioral Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN WATKINS (PRESIDENT/CEO)
(567) 343-0947
Entity
Organization
Contact information
Practice address
3909 WOODLEY RD, TOLEDO, OH 43606-1169
(419) 725-3330
Mailing address
3909 WOODLEY RD, TOLEDO, OH 43606-1169
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
207Q00000X
Family Medicine Physician
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
240
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01927
PARAMOUNT HEALTH CARE
—
01
—
060172
VALUE OPTIONS
—
01
—
110754-000
MAGELLAN
—
05
—
2341639
—
OH
05
—
3126
—
OH
01
—
611706700
DOL FECA
—
Enumeration date
10/24/2006
Last updated
09/20/2024
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