Organization
HARVEST CENTER FOR WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELLANIE KNOX (CHIEF EXECUTIVE OFFICER)
(248) 298-9215
Entity
Organization
Contact information
Practice address
4330 W DAVISON, DETROIT, MI 48238-3273
(248) 298-9215
Mailing address
4330 W DAVISON, DETROIT, MI 48238-3273
(248) 298-9215
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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