Organization
HARBOR HOUSE COLLABORATIVE
Active
Other names
Harbor House Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE L BURNS (EXECUTIVE DIRECTOR)
(719) 473-5557
Entity
Organization
Contact information
Practice address
1710 E. PIKES PEAK AVENUE,, SUITE 100, COLORADO SPRINGS, CO 80909-5745
(719) 473-5557
(719) 473-6442
Mailing address
1710 E. PIKES PEAK AVENUE,, SUITE 100, COLORADO SPRINGS, CO 80909-5745
(719) 473-5557
(719) 473-6442
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
1614-01
CO
251S00000X
Community/Behavioral Health Agency
Primary
1614-01
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14675773
—
CO
01
—
1614-01
ALCOHOL AND DRUG ABUSE DI
CO
Enumeration date
02/26/2008
Last updated
02/23/2010
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