Organization
HEART OF HARBOR INTEGRATED CARE INC.
Active
Organization
HEART OF HARBOR INTEGRATED CARE INC.
Active
Other names
Heart Of Care Integrated Health
Organization subpart
No
Provider details
NPI number
Authorized official
WILDINE BURGESS (EXECUTIVE ADMIN)
(240) 350-2863
Entity
Organization
Contact information
Practice address
3930 E RAY RD STE 120, PHOENIX, AZ 85044-7172
(602) 354-9252
Mailing address
PO BOX 51382, PHOENIX, AZ 85076-1382
(602) 354-9252
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
10/14/2021
Last updated
02/12/2024
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