Friendly Harbor Community Center

LBN: Friendly Harbor
Friendly Harbor Community Center is an health care organization with primary practice located at 2713 N Grand Ave , Pueblo CO 81003-2453. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Friendly Harbor can be contacted via phone (719) 545-2564, or through Ball, Elissa via phone (719) 214-6081.

Contact Information

Primary practice address
2713 N Grand Ave Pueblo CO 81003-2453
Phone: (719) 545-2564
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ball, Elissa Doctor of Medicine (MD)
Phone: (719) 214-6081

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1578199576
LBN Legal business name Friendly Harbor
DBA Doing business as Friendly Harbor Community Center
Authorized official Ball, Elissa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2020
Last updated Apr 2nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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