Organization
HARBOR HALL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA JANE PENNINGTON (ASSISTANT)
(231) 347-5511
Entity
Organization
Contact information
Practice address
114 RUSH ST, PETOSKEY, MI 49770-2920
(231) 347-5511
(231) 347-5422
Mailing address
704 EMMET ST, PETOSKEY, MI 49770-2910
(231) 347-5511
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0240037
—
MI
Enumeration date
04/11/2019
Last updated
04/17/2025
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