Provider Demographics
NPI:1053808063
Name:HARMONY HOUSE RECOVERY
Entity type:Organization
Organization Name:HARMONY HOUSE RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:PARADISE
Authorized Official - Suffix:
Authorized Official - Credentials:CAP ICDAC
Authorized Official - Phone:772-924-4163
Mailing Address - Street 1:810 NW GREENWICH CT
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34983-3403
Mailing Address - Country:US
Mailing Address - Phone:772-924-4163
Mailing Address - Fax:
Practice Address - Street 1:810 NW GREENWICH CT
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34983-3403
Practice Address - Country:US
Practice Address - Phone:772-924-4163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-16
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No251S00000XAgenciesCommunity/Behavioral Health