HARBOR NPI 1932510385

NPI Information

NPI: 1932510385
Provider Name: HARBOR
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3909 WOODLEY RD
TOLEDO, OH
ZIP 43606
Phone: (419) 725-3330
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HARBOR is a mental health (including community mental health center) clinic center in Toledo, OH. HARBOR NPI is 1932510385. The provider is registered as an organization entity type.

The provider's business location address is:

3909 WOODLEY RD
TOLEDO, OH
ZIP 43606-169
Phone: (419) 725-3330

The provider's authorized official is Dustin Watkins .
The authorized official title is President/ceo and has the following contact phone number (567) 343-0947.

The CLIA number assigned to this NPI record is 36D1081227 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2014 and was last updated on 12/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0064938	MEDICAID	OHIO
2	2341639	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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