| NPI | 1053823930 |
|---|---|
| Doing Business As | HAVEN COUNSELING AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | NICOLETTE IMMEDIATO President 352-519-6991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: MH15408) |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2017-10-31 |