Provider Demographics
NPI:1417960618
Name:HARRIS HOME FOR CHILDREN
Entity Type:Organization
Organization Name:HARRIS HOME FOR CHILDREN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARSHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HEWITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-837-0332
Mailing Address - Street 1:PO BOX 5183
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35814-5183
Mailing Address - Country:US
Mailing Address - Phone:256-837-0332
Mailing Address - Fax:256-837-2837
Practice Address - Street 1:5435 OAKWOOD RD NW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-1624
Practice Address - Country:US
Practice Address - Phone:256-837-0332
Practice Address - Fax:256-837-2837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL285322D00000X
AL290322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children