| Headrest | |
|
14 Church St Lebanon NH 03766 | |
| (603) 448-4872 | |
| (603) 448-1829 |
| Full Name | Headrest |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 14 Church St, Lebanon, New Hampshire |
| Authorized Official Name and Position | Eric Harbeck (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6034484872 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Headrest 141 Mascoma St Lebanon NH 03766-2647 Ph: (603) 448-4872 | Headrest 14 Church St Lebanon NH 03766 Ph: (603) 448-4872 |
| NPI Number | 1407266828 |
|---|---|
| Provider Enumeration Date | 05/07/2014 |
| Last Update Date | 04/12/2024 |
| Certification Date | 10/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407266828 | NPI | - | NPPES |
| 3105004 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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