Healthcare Provider Details

I. General information

NPI: 1023284973
Provider Name (Legal Business Name): HARBOR SCHOOLS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2008
Last Update Date: 09/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 ROLFES LN
NEWBURY MA
01951-1221
US

IV. Provider business mailing address

PO BOX 4443
MANCHESTER NH
03108-4443
US

V. Phone/Fax

Practice location:
  • Phone: 978-462-3151
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number StateMA

VIII. Authorized Official

Name: LARRY GAMMON
Title or Position: PRESIDENT
Credential:
Phone: 603-623-8863