BLK HAVEN CORP.

LITHIA SPRINGS, GA
NPI1184322455
Entity TypeOrganization
Authorized ContactASHLEE S WILSON
CEO
763-245-0390
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2023-02-16
Last Update Date2023-02-16
Business Address
BLK HAVEN CORP.
1633 KARSYN LN
LITHIA SPRINGS, GA 30122-3970
Phone number: 619-330-5601
Mailing Address
BLK HAVEN CORP.
4047 NOONAN ST
HONOLULU, HI 96818-6242
Phone number: 763-245-0390