Organization
HARBOR BEHAVIORAL HEALTH & COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNWICK NATHAN (OWNER)
(860) 938-6845
Entity
Organization
Contact information
Practice address
6736 W CARSON RD, LAVEEN, AZ 85339-7024
(860) 938-6845
Mailing address
4433 W PASEO WAY, LAVEEN, AZ 85339-2087
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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