| NPI | 1053057794 |
|---|---|
| Former Legal Business Name | HAPPY HAVEN2 AZ, LLC |
| Entity Type | Organization |
| Authorized Contact | GLORIA NDAYISHIMIYE Administrator 207-344-8204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2022-05-07 |