Organization
HER HARBOR LLC
Active
Other names
Her Harbor Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE JOHNS (MANAGER)
(815) 919-0595
Entity
Organization
Contact information
Practice address
6667 N VAN NESS BLVD, FRESNO, CA 93711-1249
(877) 536-0845
Mailing address
7235 N KNOLL AVE, FRESNO, CA 93711-0622
(877) 536-0845
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100110AP
DHCS
CA
01
—
100110BP
DHCS
CA
Enumeration date
12/12/2024
Last updated
12/12/2024
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