Organization
HARBOR HEALTH
Active
Organization
HARBOR HEALTH
Active
Other names
Harbor Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNWICK NATHAN (PRESIDENT)
(623) 213-5356
Entity
Organization
Contact information
Practice address
3213 S 66TH AVE, PHOENIX, AZ 85043-1922
(888) 900-8082
Mailing address
1717 W NORTHERN AVE STE 200, PHOENIX, AZ 85021-5478
(623) 213-5356
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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