Organization
HARBOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN WATKINS (PRESIDENT/CEO)
(567) 343-0947
Entity
Organization
Contact information
Practice address
3909 WOODLEY RD, TOLEDO, OH 43606-1169
(419) 725-3330
Mailing address
3909 WOODLEY RD, TOLEDO, OH 43606-1169
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0064938
—
OH
05
—
0110597
—
OH
05
—
2341639
—
OH
Enumeration date
05/19/2014
Last updated
09/20/2024
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