Healthcare Provider Details

I. General information

NPI: 1821785205
Provider Name (Legal Business Name): HARWOOD BEHAVIORAL HEALTH II LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2023
Last Update Date: 08/22/2023
Certification Date: 08/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 S DUPONT HWY
DOVER DE
19901-4468
US

IV. Provider business mailing address

3905 NATIONAL DR STE 200
BURTONSVILLE MD
20866-6143
US

V. Phone/Fax

Practice location:
  • Phone: 667-239-3293
  • Fax:
Mailing address:
  • Phone: 667-239-3293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ERIC SHAPIRO
Title or Position: CFO
Credential:
Phone: 667-239-3293