Organization
HARVEST FOCUSED & CONSULTING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATAMERIA DONTA DAVIS (PRESIDENT)
(336) 895-6128
Entity
Organization
Contact information
Practice address
124 S MEBANE ST STE B, BURLINGTON, NC 27215-5942
(336) 895-6128
Mailing address
124 S MEBANE ST STE B, BURLINGTON, NC 27215-5942
(336) 895-6128
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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