Organization
HARBOR HOUSE, INC
Active
Organization
HARBOR HOUSE, INC
Active
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
2822 CASHWELL DR, #178, GOLDSBORO, NC 27534-4302
(919) 736-2802
Mailing address
2822 CASHWELL DR, #178, GOLDSBORO, NC 27534-4302
(919) 736-2802
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
MHL096146
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
MHL096146
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL096170
NC
320800000X
Mental Illness Community Based Residential Treatment Facility
MHL096171
NC
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
12/21/2006
Last updated
09/11/2025
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