MEDICARE: HARRISON HOUSE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	324500000X	Substance Abuse Rehabilitation Facility
3	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1174339790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARRISON HOUSE, INC.

Provider Business Mailing Address
First Line	:	5105Q BACKLICK RD
Second Line	:
City	:	ANNANDALE
State	:	VA
Zip	:	22003-6072
Country	:	US
Telephone Number	:	844-889-9433
Fax Number	:

Provider Business Practice Location Address
First Line	:	6299 LEESBURG PIKE
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22044-2101
Country	:	US
Telephone Number	:	844-889-9433
Fax Number	:	954-212-2227

Authorized Official
Title or Position	:	VP, PAYOR SERVICES & QA
Name	:	JESSICA ARBAUGH
Credential	:
Telephone Number	:	954-368-0888

Provider Enumeration Date	:	12/09/2024
Last Update Date	:	01/15/2026

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Directions to “HARRISON HOUSE, INC. ” Practice Location

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