| Harvest Consulting Company, Llc | |
|
2405 Northwestern Ave Lower Level Suite 5 Racine WI 53404-2534 | |
| (262) 488-1536 | |
| Not Available |
| Full Name | Harvest Consulting Company, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2405 Northwestern Ave, Racine, Wisconsin |
| Authorized Official Name and Position | Corie P Hargrove (OWNER/CSAC) |
| Authorized Official Contact | 2624881536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harvest Consulting Company, Llc 2405 Northwestern Ave Lower Level Suite 5 Racine WI 53404-2534 Ph: () - | Harvest Consulting Company, Llc 2405 Northwestern Ave Lower Level Suite 5 Racine WI 53404-2534 Ph: (262) 488-1536 |
| NPI Number | 1982951679 |
|---|---|
| Provider Enumeration Date | 08/13/2012 |
| Last Update Date | 08/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982951679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 13772-132 (Wisconsin) | Primary |
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