Organization
HARBOR HOUSE INC
Active
Organization
HARBOR HOUSE INC
Active
Other names
Harbor House Of goldsboro
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLENDA WIGGINS JOHNSON BS (EXECUTIVE DIRECTOR)
(919) 734-8310
Entity
Organization
Contact information
Practice address
203 N JACKSON ST, GOLDSBORO, NC 27530-3857
(919) 734-8310
Mailing address
2822 CASHWELL DR # 178, GOLDSBORO, NC 27534-4302
(919) 736-2802
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804952
—
NC
05
—
7805075
—
NC
05
—
8301266
—
NC
05
—
8301266B
—
NC
05
—
8301626
—
NC
05
—
8301627
—
NC
Enumeration date
03/08/2007
Last updated
08/22/2020
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