Organization
HARBOR HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN CANAWAY (CREDENTIALING SPECIALIST)
(603) 882-3616
Entity
Organization
Contact information
Practice address
45 HIGH ST, NASHUA, NH 03060
(603) 882-3616
(603) 595-7414
Mailing address
77 NORTHEASTERN BLVD, NASHUA, NH 03062-3128
(603) 882-3616
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
1223G0001X
General Practice Dentistry
—
—
207Q00000X
Family Medicine Physician
850000244
NH
207R00000X
Internal Medicine Physician
850000244
NH
2084P0800X
Psychiatry Physician
850000244
NH
208D00000X
General Practice Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
850000244
NH
324500000X
Substance Abuse Rehabilitation Facility
—
—
333600000X
Pharmacy
0812 P
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
850000244
NH
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3071189
—
NH
05
—
3082687
—
NH
05
—
3108699
—
NH
05
—
3124700
—
NH
Enumeration date
07/03/2006
Last updated
03/14/2022
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