Full Name | Harbour House, Inc |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 5 Oak Ct, Annapolis, Maryland |
Authorized Official Name and Position | Roger Riley (CLINICAL DIRECTOR) |
Authorized Official Contact | 4102553539 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Harbour House, Inc Po Box 3603 Baltimore MD 21214-0603 Ph: (410) 255-3539 | Harbour House, Inc 5 Oak Ct Annapolis MD 21401-7017 Ph: (410) 266-3040 |
NPI Number | 1336654474 |
---|---|
Provider Enumeration Date | 12/12/2017 |
Last Update Date | 12/15/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336654474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 905693 (Maryland) | Primary |
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