Organization
D & K HARBICK FIVE LLC
Active
Other names
Ark77 Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
KAIL L HARBICKQ (OWNER)
(541) 822-3603
Entity
Organization
Contact information
Practice address
91804 MILL CREEK RD, BLUE RIVER, OR 97413-9711
(541) 822-3603
Mailing address
91804 MILL CREEK RD, BLUE RIVER, OR 97413-9711
(541) 822-3603
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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