| NPI | 1114742046 |
|---|---|
| Former Legal Business Name | HAVEN HEALTH & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | MICHELLE ELIZABETH EASTON Owner 719-401-3626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2025-12-20 |