| NPI | 1023859436 |
|---|---|
| Doing Business As | WOODHAVEN BEHAVIORAL LLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER SUE WOOD CEO 765-586-4764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251S00000X |
| 261Q00000X Clinic/Center | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-07-13 |