| NPI | 1417005612 |
|---|---|
| Doing Business As | HAVENS HOME |
| Entity Type | Organization |
| Authorized Contact | KENNETH EDWARD BAILEY CEO 770-964-3173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: GA 00882626A) |
| Enumeration Date | 2007-01-07 |
| Last Update Date | 2020-08-22 |