Provider Demographics
NPI:1265008114
Name:HARBOUR HOUSE, INC
Entity Type:Organization
Organization Name:HARBOUR HOUSE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:MAURICE
Authorized Official - Last Name:LAWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-255-3539
Mailing Address - Street 1:15 OAK CT
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7017
Mailing Address - Country:US
Mailing Address - Phone:410-255-3539
Mailing Address - Fax:443-378-3540
Practice Address - Street 1:1521 WIDOWS MITE RD
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:MD
Practice Address - Zip Code:21037-2144
Practice Address - Country:US
Practice Address - Phone:410-255-3539
Practice Address - Fax:443-378-3540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-01
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness