# HARBOR HOUSE, INC

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

## Provider details

- **NPI number:** 1992979447
- **Authorized official:** MRS. GLENDA WIGGINS JOHNSON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (919) 736-2802

## Contact information

- **Practice address:** 203 N JACKSON ST, GOLDSBORO, NC 27530-3857
- **Practice address phone:** (919) 734-8310
- **Practice address fax:** (919) 734-8310
- **Mailing address:** 2822 CASHWELL DR \# 178, GOLDSBORO, NC 27534-4302
- **Mailing address phone:** (919) 736-2802
- **Mailing address fax:** (919) 736-2809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-096-207 | NC | Yes |

## Other

- **Enumeration date:** 04/16/2008
- **Last updated:** 04/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8301266 | — | NC |