Organization
HARVEST CONSULTING COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORIE P HARGROVE (OWNER/CSAC)
(262) 488-1536
Entity
Organization
Contact information
Practice address
2405 NORTHWESTERN AVE, LOWER LEVEL SUITE 5, RACINE, WI 53404-2534
(262) 488-1536
Mailing address
2405 NORTHWESTERN AVE, LOWER LEVEL SUITE 5, RACINE, WI 53404-2534
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
13772-132
WI
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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