Organization
HARBOR HOUSE INCORPORATED OF FORT SMITH ARKANSAS
Active
Other names
Harbor House, Incorporated
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RANEE LEWIS (OFFICE MANAGER)
(479) 785-4083
Entity
Organization
Contact information
Practice address
615 N 19TH ST, FORT SMITH, AR 72901-3319
(479) 785-4083
(479) 668-2059
Mailing address
PO BOX 4207, FORT SMITH, AR 72914-4207
(479) 785-4083
(479) 494-7726
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236252526
—
AR
05
—
239197526
—
AR
Enumeration date
12/04/2006
Last updated
09/27/2023
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