| NPI | 1184573032 |
|---|---|
| Doing Business As | HAVEN COMPLETE WELLNESS SERVICES |
| Entity Type | Organization |
| Authorized Contact | BRANDY M BATES Owner/Provider 208-851-9151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2026-01-23 |
| Last Update Date | 2026-07-15 |