NPI | 1013921451 |
---|---|
Doing Business As | HAVILAND CLINIC |
Entity Type | Organization |
Authorized Contact | MARY COLCLAZIER Administrator 6207-233-3411 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2006-07-29 |
Last Update Date | 2020-08-22 |