Provider Demographics
NPI:1174339790
Name:HARRISON HOUSE, INC.
Entity type:Organization
Organization Name:HARRISON HOUSE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, PAYER SERVICES & QA
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-368-0888
Mailing Address - Street 1:5105Q BACKLICK RD
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-6072
Mailing Address - Country:US
Mailing Address - Phone:844-889-9433
Mailing Address - Fax:
Practice Address - Street 1:6299 LEESBURG PIKE
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-2101
Practice Address - Country:US
Practice Address - Phone:844-889-9433
Practice Address - Fax:954-212-2227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility