Harbor of Grace Enhanced Recovery Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

100696 Issued in MD

Legal business name

HARBOR OF GRACE ENHANCED RECOVERY CENTER

Practice address

437 Girard St
Havre de Grace, MD 21078-3215

Phone

(443) 502-8606

Fax

(443) 502-8598

NPI assigned

Oct 20, 2015

Last updated

Oct 20, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William David Hill, D.D.S.

Title

Managing Partner

Phone

(410) 725-6919

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1093187874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 MARVEL CT",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014052",
            "telephone_number": "443-502-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 GIRARD ST",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783215",
            "telephone_number": "443-502-8606",
            "fax_number": "443-502-8598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR OF GRACE ENHANCED RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "410-725-6919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MD",
            "license": "100697",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MD",
            "license": "100696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Guanzon, CRNP
• Erick Christopher Guzman, PH.D.
• Jessica Young Won Hahm, O.D.
• Halpern Eye Care of Maryland, Inc. (Vision Associates, Inc.)
• Margaret Hammer, COTA
• Harford Counseling, LLC
• Harford County Health Department
• Harford Gastroenterology Associates PA
• Harford Memorial Hospital, Inc. (University of Maryland Harford Memorial Hospital)
• Harford Memorial Hospital, Inc.

• Substance Abuse Rehabilitation Facility in Havre de Grace, MD
• Providers in Havre de Grace, MD by specialty
• Substance Abuse Rehabilitation Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.