Organization
HARBOUR HOUSE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER RILEY LCPC (CLINICAL DIRECTOR)
(410) 255-3539
Entity
Organization
Contact information
Practice address
5 OAK CT, ANNAPOLIS, MD 21401-7017
(410) 266-3040
(443) 378-3540
Mailing address
PO BOX 3603, BALTIMORE, MD 21214-0603
(410) 255-3539
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
905693
MD
Other
Enumeration date
12/12/2017
Last updated
12/15/2017
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