| 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 |