| NPI | 1205674512 |
|---|---|
| Former Legal Business Name | HOPE HAVEN LLC |
| Entity Type | Organization |
| Authorized Contact | RAMONITA PEREZ Owner 917-582-6482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2024-07-21 |