Organization
HARBOR HOPE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS JEFFREY SMITH (PRESIDENT)
(920) 225-9045
Entity
Organization
Contact information
Practice address
1626 S PARK AVE, 908 BALDWIN ST, NEENAH, WI 54956-5025
(920) 225-9045
Mailing address
1626 S PARK AVE, NEENAH, WI 54956-5025
(920) 225-9045
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
0013938
WI
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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