Organization Name: | HARBOR HEALTH SERVICES, INC. |
NPI Number: | 1144296815 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERTA J COOK (ACTING CEO) |
Mailing Address: | 14 Sycamore Way Branford |
State: | CT US |
Postal Code: | 064056551 |
Phone Number: | 2034832630 |
Fax Number: | 2034832659 |
NPI Enumeration Date: | 02/23/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C-0193 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |