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General NPI Number Information
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NPI Number | 1538909874
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Entity Type | Organization
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Legal Business Name | HARMONY HOUSE RECOVERY HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 05/24/2024
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 6418 S 69TH GLN
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City | LAVEEN
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State | AZ
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Zip | 85339-2696
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Country | US
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Telephone | 480-524-1814
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Fax |
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Provider Business Mailing Address
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Address Line | 1155 S POWER RD STE 114
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City | MESA
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State | AZ
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Zip | 85206-3716
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Country | US
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Telephone | 480-524-1814
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | JOHN HOLLAND
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Credential |
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Telephone | 480-524-1814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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