| NPI | 1043977176 |
|---|---|
| Doing Business As | HAVEN DIRECT HEALTH |
| Entity Type | Organization |
| Authorized Contact | JADELL HOVANDER Managing Member 307-856-1189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2021-11-23 |