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1184322455
BLK HAVEN CORP.
LITHIA SPRINGS, GA
NPI
1184322455
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Entity Type
Organization
Authorized Contact
ASHLEE S WILSON
CEO
763-245-0390
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-02-16
Last Update Date
2023-02-16
Business Address
BLK HAVEN CORP.
1633 KARSYN LN
LITHIA SPRINGS, GA 30122-3970
Phone number: 619-330-5601
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Mailing Address
BLK HAVEN CORP.
4047 NOONAN ST
HONOLULU, HI 96818-6242
Phone number: 763-245-0390
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