| NPI | 1083875660 |
|---|---|
| Doing Business As | HAVEN SENIOR HORIZONS OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | WILLIAM PAGE BARNES CFO/Secretary 615-250-9091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: AZ BH-3156) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2009-07-31 |