Provider Demographics
NPI:1689485237
Name:HARMONY COMMERCIAL
Entity type:Organization
Organization Name:HARMONY COMMERCIAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/CBO
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:LARSON
Authorized Official - Suffix:
Authorized Official - Credentials:MISE, EMBA, FACMPE
Authorized Official - Phone:720-707-6542
Mailing Address - Street 1:1600 FISH HATCHERY RD
Mailing Address - Street 2:
Mailing Address - City:ESTES PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80517-9227
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1600 FISH HATCHERY RD
Practice Address - Street 2:
Practice Address - City:ESTES PARK
Practice Address - State:CO
Practice Address - Zip Code:80517-9227
Practice Address - Country:US
Practice Address - Phone:970-586-4491
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility