| NPI | 1346870920 |
|---|---|
| Doing Business As | HARVEST HOME |
| Entity Type | Organization |
| Authorized Contact | ERIC JENSEN Controller 360-236-7170 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |