Provider Demographics
NPI:1124688833
Name:HARVEST OF HOPE BEHAVIORAL HEALTH
Entity type:Organization
Organization Name:HARVEST OF HOPE BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:BSP
Authorized Official - Phone:443-334-5732
Mailing Address - Street 1:720 MAIDEN CHOICE LN
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-5940
Mailing Address - Country:US
Mailing Address - Phone:443-334-5732
Mailing Address - Fax:443-334-5738
Practice Address - Street 1:720 MAIDEN CHOICE LN # CONDOC
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-5940
Practice Address - Country:US
Practice Address - Phone:443-334-5732
Practice Address - Fax:443-334-5738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-14
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1124688833Medicaid