| NPI | 1356783633 |
|---|---|
| Doing Business As | MY HARVEST CRA |
| Entity Type | Organization |
| Authorized Contact | ANGELA MAINS Regional Director 866-205-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2013-07-26 |