Organization · NPI-2

New Harvest Therapy Services, INC.

Clinic/Center, Mental Health (Including Community Mental Health Center) · Munster, IN

NPI number1407341787
StatusActive
Last updated in NPPESDec 4, 2018

Details

NPI
1407341787
Entity type
Organization (NPI-2)
Legal business name
New Harvest Therapy Services, INC.
Organization subpart
No
Enumeration date
Jun 28, 2018
Last updated
Dec 4, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)20043103AINYes

Practice location

8124 Calumet Ave Ste B
Munster, IN 46321

Phone 317-840-8963

Mailing address

Po Box 3294
Munster, IN 46321-0294

Phone 219-852-8558 · Fax 219-852-8558

Authorized official

Jean M Nanos
Director/Owner
2198528558

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