Provider Demographics
NPI:1871513648
Name:HARWOOD HOUSE
Entity type:Organization
Organization Name:HARWOOD HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DOUGLAS
Authorized Official - Suffix:JR
Authorized Official - Credentials:BACHELORS
Authorized Official - Phone:610-853-3440
Mailing Address - Street 1:9200 WEST CHESTER PIKE
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-2608
Mailing Address - Country:US
Mailing Address - Phone:610-853-3440
Mailing Address - Fax:610-853-1067
Practice Address - Street 1:9200 WEST CHESTER PIKE
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-2608
Practice Address - Country:US
Practice Address - Phone:610-853-3440
Practice Address - Fax:610-853-1067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA232156324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility