# HARBOR BEHAVIORAL HEALTH & COUNSELING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861967960
- **Authorized official:** MR. JOHNWICK NATHAN (OWNER)
- **Authorized official phone:** (860) 938-6845

## Contact information

- **Practice address:** 6736 W CARSON RD, LAVEEN, AZ 85339-7024
- **Practice address phone:** (860) 938-6845
- **Mailing address:** 4433 W PASEO WAY, LAVEEN, AZ 85339-2087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 276400000X | Substance Use Disorder Rehabilitation Hospital Unit | — | NULL | Yes |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 10/04/2018
- **Last updated:** 10/04/2018