Organization
HARBOR HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN CANAWAY (CREDENTIALING/CONTRACTING)
(603) 882-3616
Entity
Organization
Contact information
Practice address
17 BIRCH HILL DR, NASHUA, NH 03063-2541
(603) 821-7788
(603) 821-5620
Mailing address
77 NORTHEASTERN BLVD, NASHUA, NH 03062-3128
(603) 882-3616
(866) 881-9106
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
2084P0800X
Psychiatry Physician
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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