| NPI | 1295769602 |
|---|---|
| Doing Business As | HOPE HAVEN |
| Entity Type | Organization |
| Authorized Contact | STELLA JOHNSON Chief Executive Office 904-346-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2021-08-09 |