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 |