Organization
HARBOR HOUSE INC
Active
Organization
HARBOR HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONNIE W ELLIS (ATR COORDINATOR)
(901) 743-1836
Entity
Organization
Contact information
Practice address
1979 E ALCY RD, MEMPHIS, TN 38114-5902
(901) 743-1836
(901) 745-1180
Mailing address
1979 E ALCY RD, MEMPHIS, TN 38114-5902
(901) 743-1836
(901) 745-1180
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
L000000010971
TN
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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