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Organization
HEADREST
Active
Organization
HEADREST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC HARBECK JR. MSW, LCSW, MLADC (CLINICAL DIRECTOR)
(603) 448-4872
Entity
Organization
Contact information
Practice address
141 MASCOMA ST, LEBANON, NH 03766
(603) 448-4872
(603) 727-9353
Mailing address
14 CHURCH STREET, LEBANON, NH 03766
(603) 448-4872
(603) 448-1829
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3098319
—
NH
Enumeration date
12/19/2007
Last updated
04/12/2024
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