| NPI | 1265824858 |
|---|---|
| Doing Business As | HEALTH HAVEN LLC |
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD ASIM NISAR Medical Director 516-640-6937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| 261Q00000X Clinic/Center (Licence: FL ME111621) | |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2024-09-09 |