NPI | 1134985203 |
---|---|
Doing Business As | HAVEN INTEGRATIVE CARE |
Entity Type | Organization |
Authorized Contact | KASIE HOLMES Owner/Practitioner 601-248-8031 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2024-02-26 |
Last Update Date | 2024-05-31 |