MEDICARE: HARLOW GARDENS, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1609664580
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARLOW GARDENS, INC.

Provider Business Mailing Address
First Line	:	175 E EL ALAMEDA
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-5520
Country	:	US
Telephone Number	:	760-322-1100
Fax Number	:	760-318-0055

Provider Business Practice Location Address
First Line	:	855 N INDIAN CANYON DR
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-5751
Country	:	US
Telephone Number	:	760-322-1100
Fax Number	:	760-318-0055

Authorized Official
Title or Position	:	CEO
Name	:	JOSIE HERNDON
Credential	:
Telephone Number	:	760-413-2055

Provider Enumeration Date	:	04/29/2025
Last Update Date	:	04/29/2025

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